nitrous use has gone way down. One company does offer an optional
third cylinder, which, instead of being hard-mounted, is connected to
a hose and strapped onto the machine.
Of course, if there's a chance the machine will be used at a site
that's not equipped with a medical gas pipeline, it will have to run off
cylinders and you'll need to plan ahead as to what you'll need.
3. Anesthesia groups tend to have a personality. They may be dominat-
ed by established senior providers who are set in their ways, techni-
cally unsophisticated and resistant to change. Or they may be tech-
savvy early adopters who love the newest gadgets. Note, by the way,
that the folks who embrace new technology aren't necessarily just
younger folks. Some senior providers are very tech savvy and love
computerization.
But those in the first
group tend to be rigid
thinkers. Familiarity
has a lot to do with
safety, and they don't
like surprises. They're
likely to be extremely
reluctant to give up old
technology. They want
the classic delivery
method they were
trained on. They want
to be able to look at
hoses and pipes and
see which way the gas
is flowing. They dis-
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