Skip to main content
  • 931 Accesses

Abstract

Modernization of anesthesia delivery equipment and monitoring, as well as improvements in provider training, has led to a decline in reportable adverse events in the Anesthesia Closed Claims database. Anesthesia providers should be trained on the recognition and management of common equipment failures to reduce the risk of patient injury. Training should occur through a combination of studied learning, on-site training, and simulation training. Anesthesia providers should be competent in performing all aspects of the pre-anesthesia machine checklist and be aware of common equipment problems, the risk of patient injury, how to react when equipment failure occurs, and how to best prevent equipment from happening in the first place or resulting in patient harm.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 119.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 159.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Bibliography

  1. Sub-Committee of ASA Committee on Equipment and Facilities. Recommendations for pre-anesthesia checkout procedures. 2008. Retrieved from https://www.asahq.org/resources/clinical-information/2008-asa-recommendations-for-pre-anesthesia-checkout

  2. Al Suhaibani M, Al Malki A, Al Dosary S, Al Barmawi H, Pogoku M. Pre-use anesthesia machine check; certified anesthesia technician based quality improvement audit. Anesth Essays Res. 2014;8(3):354–60. https://doi.org/10.4103/0259-1162.143142.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Goneppanavar U, Prabhu M. Anaesthesia machine: checklist, hazards, scavenging. Indian J Anaesth. 2013;57(5):533–40. https://doi.org/10.4103/0019-5049.120151.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Association of Anaesthetists of Great Britain and Ireland (AAGBI), Hartle A, Anderson E, Bythell V, Gemmell L, Jones H, et al. Checking anaesthetic equipment 2012: association of anaesthetists of Great Britain and Ireland. Anaesthesia. 2012;67(6):660–8. https://doi.org/10.1111/j.1365-2044.2012.07163.x.

    Article  Google Scholar 

  5. Cassinello F, Ariño JJ, Bartolomé Ruibal A, de la Pinta JC, de la Quintana FB, Espinosa ME, Grupo de Trabajo de la Sociedad Española de Anestesiología, Reanimación y Tratamiento del Dolor para el desarrollo de Directrices para procedimientos de chequeos previos a la anestesia de la SEDAR, et al. Spanish Society of Anaesthesia (SEDAR) guidelines for pre-anaesthesia checking procedures. Revista Espanola de Anestesiologia Y Reanimacion. 2012;59(4):210–6. https://doi.org/10.1016/j.redar.2012.03.002.

  6. Dobson G, Chong M, Chow L, Flexman A, Kurrek M, Laflamme C, et al. Guidelines to the practice of anesthesia – revised edition 2017. Can J Anaesth. 2017;64(1):65–91. https://doi.org/10.1007/s12630-016-0749-0.

    Article  PubMed  Google Scholar 

  7. Caplan RA, Vistica MF, Posner KL, Cheney FW. Adverse anesthetic outcomes arising from gas delivery equipment: a closed claims analysis. Anesthesiology. 1997;87(4):741–8. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/9357874

    Article  CAS  Google Scholar 

  8. Mehta SP, Eisenkraft JB, Posner KL, Domino KB. Patient injuries from anesthesia gas delivery equipment: a closed claims update. Anesthesiology. 2013;119(4):788–95. https://doi.org/10.1097/ALN.0b013e3182a10b5e.

    Article  CAS  PubMed  Google Scholar 

  9. Woodcock BJ. Mechanical ventilators. In: Lobato EB, Gravenstein N, Kirby RR, editors. Complications in Anesthesia. 3rd ed. Philadelphia: Lippincott Williams & Wilkins; 2007. p. 1,008.

    Google Scholar 

  10. Abel M, Eisenkraft JB. Vaporizers. In: Lobato EB, Gravenstein N, Kirby RR, editors. Complications in anesthesia. 3rd ed. Philadelphia: Lippincott Williams & Wilkins; 2007. p. 1009.

    Google Scholar 

  11. Gaba DM. Anaesthesiology as a model for patient safety in health care. BMJ (Clinical Research Ed). 2000;320(7237):785–8. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/10720368

    Article  CAS  Google Scholar 

  12. Aitkenhead AR. Injuries associated with anaesthesia. A global perspective. Br J Anaesth. 2005;95(1):95–109. https://doi.org/10.1093/bja/aei132.

    Article  CAS  PubMed  Google Scholar 

  13. Schwilk B, Muche R, Bothner U, Goertz A, Friesdorf W, Georgieff M. Quality control in anesthesiology. Results of a prospective study following the recommendations of the German Society of Anesthesiology and Intensive Care. Anaesthesist. 1995;44(4):242–9. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/7785752

    Article  CAS  Google Scholar 

  14. Waldrop WB, Murray DJ, Boulet JR, Kras JF. Management of anesthesia equipment failure: a simulation-based resident skill assessment. Anesth Analg. 2009;109:426–33.

    Article  Google Scholar 

  15. Mudumbai SC, Fanning R, Howard SK, Davies MF, Gaba DM. Use of medical simulation to explore equipment failures and human-machine interactions in anesthesia machine pipeline supply crossover. Anesth Analg. 2010;110:1292–6.

    Article  Google Scholar 

  16. Woodworth G, Kirsch JR, Sayers-Rana S. The Anesthesia technician and technologist’s manual: all you need to know for study: Lippincott Williams & Wilkins; 2012.

    Google Scholar 

  17. Yang KK, Lewis IH. Mask induction despite circuit obstruction: an unrecognized hazard of relying on automated machine check technology. Anesth Analg Case Rep. 2014;2:143–6.

    Google Scholar 

  18. Moreno-Duarte I, Montenegro J, Balonov K, Schumann R. Increased resistance to flow and ventilator failure secondary to faulty CO2 absorbent insert not detected during automated anesthesia machine check: a case report. Anesth Analg Case Rep. 2017;8:192–6.

    Google Scholar 

  19. Eng TS, Durieux ME. Automated machine checkout leaves an internal gas leak undetected: the need for complete checkout procedures. Anesth Analg. 2012;114:144–6.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Allison Clark .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Homra, B., Clark, A. (2019). Equipment Problems. In: Fox, III, C., Cornett, E., Ghali, G. (eds) Catastrophic Perioperative Complications and Management. Springer, Cham. https://doi.org/10.1007/978-3-319-96125-5_21

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-96125-5_21

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-96124-8

  • Online ISBN: 978-3-319-96125-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics