Outpatient Surgery Magazine

Manager's Guide to Surgery's Ambulatory Anesthesia - July 2015

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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J U LY 2 0 1 5 O U T P A T I E N TS U R G E R Y. N E T 4 7 and easy to use, since you just select your desired anesthetic mixture using a digital screen. There's a downside to that, however. If your machine's screen breaks or you lose power, it could eliminate your control or supply of the volatile anesthetic. To fight this, many machines have a backup battery, though Here are a few other updates on most modern machines that you need to check out: • Electronic checkouts walk the provider through a daily check to look for problems such as leaks, compliance issues and electron- ic software malfunctions. • Work surfaces in new models are larger, providing ample space to house charts and supplies. • Bright LED lights help providers see in darkened ORs. Other updates include foot brakes and automatic cord controls that make cart maneuvering easier. • Regulated auxiliary oxygen lets clinicians limit the concentra- tion of open-delivered oxygen to minimize risk of fire. • Low gas consumption allows for a near metabolic, very low flow of fresh gas that conserves expensive volatile agents. — Michael A. Olympio, MD z INNOVATIVE IMPROVEMENT Modern machines are designed with the anesthesia provider in mind. ANESTHESIA AIDS User-Friendly Features Worth Having it must be regularly inspected to ensure it's charged enough to provide a minimum of 30 minutes of opera- tion, if needed. 3. Breathing circuit The fresh gas and anesthetic enters the breathing circuit, which connects the patient to the machine to deliver the neces- sary oxygen and anes- thetic gases while eliminating the exhaled carbon diox- ide. One of the big advances in new anes- thesia machines is fresh gas decoupling (FGD), which ensures constant tidal volume delivery to the patient. Computer systems track the amount of

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