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A checklist is normally attached to the anaesthetic machine. 3 Anaesthetic machine checklist r Anaesthetic machine r Monitoring devices r Gas supply – tug test – ﬂowmeters r Vaporisers r Breathing systems r Ventilator r Scavenging system r Ancillary equipment – particularly suction r Alternative means of ventilating patient r Recording Anaesthetic machine Check that the machine and ancillary equipment are connected to the electrical supply and switched on. Note should be taken of any information attached to the machine.
Chapter 7 The anaesthetic machine The anaesthetic machine delivers known gas and vapour concentrations, which are variable in amount and composition. The machine is of a ‘continuous-ﬂow’ nature and designed so that gases are delivered at safe pressures. Know your machine and you will be a safe anaesthetist. 1). 1 Anaesthetic machine components r Gas supply – cylinders, pipelines and pressure gauges r Pressure regulators r Flowmeter needle valves r Rotameters – or electronic readout r Vaporisers r Common gas outlet Anaesthetic machines vary in age, and the different nomenclature for pressure readings can cause confusion.
Elsewhere, however, only clinical signs can be used. 2. 2 Clinical signs used to conﬁrm tracheal intubation r Direct visualisation of tracheal tube through vocal cords r Palpation of tube movement within the trachea r Chest movements r Breath sounds r Reservoir bag compliance and reﬁll r Condensation of water vapour on clear tracheal tubes Tracheal intubation 17 Seeing the tracheal tube passing through the vocal cords is the best clinical method of conﬁrming tracheal intubation. This is normally achieved easily, but is not always possible in technically difﬁcult intubations.