Case 14: Manual Ventilation of a Patient Turned 180 Degrees Away from the Anesthesia Machine by a Single Operator – Is it Possible?

  • John G. Brock-Utne


You are anesthetizing a healthy ASA 1 young man for nasal reconstruction. He is taken to the operating room and routine monitors are placed. He is anesthetized and the airway secured uneventfully. He is disconnected from the ventilator and the table turned 180°. The medical student who is working with you asks: “Why don’t you turn the patient 180 degrees and then put the patient asleep?” You explain that your arms are not long enough to hold both the patient’s face mask and the reservoir bag on the anesthetic machine. He sees your point. However, you wonder if there is a way to do this relatively safely with the existing equipment that you have available to you in the operating room.


Manual ventilation General anesthesia Anesthesia machine Airway Reservoir bag Omar slave Operating room table Anesthetic tubing 


  1. 1.
    Chu LF, Harrison K, Brock-Utne JG. Manual ventilation of a patient turned 180 degrees away from the anesthesia machine by a single operator. International Research Society Annual meeting. New Orleans, LA. March 2003:21–23 (abstract).Google Scholar

Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  • John G. Brock-Utne
    • 1
  1. 1.Department of AnesthesiaStanford UniversityStanfordUSA

Personalised recommendations