Anesthesia machine Flashcards

1
Q

What is the main function of the anesthesia machine?

A

The anesthesia machine delivers a controlled mixture of gases, including oxygen and anesthetics, to the patient and removes exhaled gases during surgery.

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2
Q

What are the basic components of an anesthesia machine?

A

The basic components include gas supply (oxygen, nitrous oxide, and air), vaporizers, breathing circuit, ventilator, flowmeters, and scavenging system.

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3
Q

What is the role of the vaporizer in an anesthesia machine?

A

The vaporizer converts liquid anesthetic agents (e.g., sevoflurane, isoflurane) into a gas that is mixed with oxygen or air and delivered to the patient.

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4
Q

What is the function of the flowmeter in an anesthesia machine?

A

The flowmeter measures and regulates the flow of gases, ensuring that the correct amount of oxygen and other gases are delivered to the patient.

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5
Q

What is the purpose of the scavenging system in an anesthesia machine?

A

The scavenging system collects and removes excess anesthetic gases from the operating room to prevent staff exposure.

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6
Q

How does the breathing circuit in an anesthesia machine work?

A

The breathing circuit delivers the anesthetic gases to the patient and removes exhaled gases, often incorporating filters and absorbers to eliminate CO2.

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7
Q

What is the function of the ventilator in an anesthesia machine?

A

The ventilator mechanically controls the patient’s breathing by delivering a preset volume or pressure of gas during surgery when the patient cannot breathe independently

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8
Q

What is a common safety feature on anesthesia machines related to oxygen delivery?

A

The oxygen failure safety device (or fail-safe system) ensures that if oxygen supply is interrupted, nitrous oxide and other gases are automatically stopped to prevent hypoxia.

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9
Q

What is the function of the CO2 absorber in an anesthesia machine?

A

The CO2 absorber removes carbon dioxide from the exhaled gas in a closed or semi-closed breathing circuit, allowing the gases to be reused.

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10
Q

How is the pressure of gases regulated in an anesthesia machine?

A

Pressure regulators reduce the high pressure of incoming gases (from cylinders or pipelines) to a safer, usable pressure for delivery to the patient

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11
Q

What should be checked during the anesthesia machine pre-use inspection?

A

Ensure proper gas flow, functioning of vaporizers, check for leaks, ventilator function, and ensure emergency oxygen is available.

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12
Q

What can cause equipment failure in an anesthesia machine?

A

Equipment failure can result from malfunctioning tubing, vaporizer leaks, failure in gas delivery systems, or ventilator failure.

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13
Q

What is the Adjustable Pressure-Limiting (APL) valve on an anesthesia machine?

A

The APL valve, also known as the “pop-off valve,” controls the pressure within the breathing system by allowing excess gas to escape and prevents over-pressurization.

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14
Q

When is the APL valve primarily used?

A

The APL valve is used during manual (bag) ventilation, allowing the anesthetist to control the pressure while the patient is ventilated by hand.

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15
Q

How does the APL valve function during spontaneous breathing?

A

During spontaneous breathing, the APL valve should be fully open to allow gases to escape freely and prevent any buildup of pressure in the breathing circuit.

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16
Q

What happens if the APL valve is closed too much during manual ventilation?

A

Closing the APL valve too much can cause excessive pressure to build up in the breathing system, leading to potential barotrauma to the patient’s lungs.

17
Q

What is the correct APL valve setting for mechanical ventilation?

A

During mechanical ventilation, the APL valve is bypassed or closed as the ventilator controls the pressure in the breathing circuit.

18
Q

How should the APL valve be adjusted during manual ventilation?

A

The APL valve should be adjusted to maintain enough pressure to ventilate the patient but allow excess gases to escape, preventing lung overinflation.

19
Q

What is the risk of not properly adjusting the APL valve during manual ventilation?

A

Improper adjustment of the APL valve can lead to insufficient ventilation or overpressurization, which may result in inadequate oxygenation or lung injury.

20
Q

How does the APL valve protect the patient?

A

The APL valve protects the patient by allowing excess gases to escape from the circuit, preventing excessive airway pressure that could lead to lung damage.