Incredible - I have had several surgeries and quite a few day surgeries - I had no idea how complicated this system was! Thank you all for taking care of our lives when we are "under."
You stated that having a checklist was a big thing...could you please show the checklist you used. This procedure was based on the 1993 FDA guidelines. why not the 2008 guidelines from the APSF? When testing the ambu-bag, it should also be compressed and dead-ended to show it can deliver under pressure. The suction bulb leak testing device should be tested for leaks before testing on machine. The common gas outlet in video is actually the auxiliary CGO. The CGO is behind the uni-directional valve module. When test vaporizers for leaks, it is also proper to insure that only one vaporizer can be turned on at a time. When testing flowmeters, advise operator to shunt insp/exp ports. At 5:21, tape should not be used to plug unused scavenging port. At 5:32, You state to adjust scavenging system...but to what value? At 5:37, notice crack in APL valve. this should be replaced. At 5:41, occlude the Y-piece, yet notice gas monitoring line is disconnected causing leak. At no point was the scavenging bag fully inflated, verifying its self-integrity. At 6:27 Notice silver button (water spigot emblem). operators frequently miss this this all important feature. Explain that oxygen sensor 100% calibration is performed after its replacement. At 8:50, notice during leak test pressure gauge is actually dropping, indicating a leak. Operators should understand how to measure the the leak rate, (as all machines are allowed to leak a certain amount) and determine if leak rate is acceptable.
A few years ago I lost a good friend,he was a giant of a man 6'7'' around 260lbs .Went to surgery for a routine eye operation ,was dead less than 30 seconds after being anesthetized.
