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Anaes CasesMedical gases & gas supply

Anaes Cases · Medical gases & gas supply

Pipeline oxygen failure — management

The pipeline O2 failure long case — open the cylinder, switch to air, inform surgeon + engineering, rationalise the flow, calculate the cylinder duration.

long1 min readVerification in progress

Target exams

ANZCAFRCAABAEDAIC
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Target exams

ANZCAFRCAABAEDAIC
Prompt
During a general anaesthetic, the pipeline oxygen pressure alarm sounds and the gauge falls to zero. Discuss the management of this emergency.

Presentation

During an elective abdominal surgery under general anaesthesia (the oxygen at 2 L/min, the air at 2 L/min, the sevoflurane 2 per cent), the pipeline oxygen pressure alarm sounds. The pipeline pressure gauge falls from 4 bar to zero. The oxygen flowmeter bobbin falls. The N2O flowmeter also falls (the fail-safe device). The capnograph continues to show the trace.[22563958]

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References2ShowHide
  1. [1]AAGBI. Checking anaesthetic equipment 2012. Anaesthesia, 2012.PMID 22563957
  2. [22563958]Bersten AD, Soni N (eds) Oh's Intensive Care Manual. 8th edition, Elsevier, 2018.
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