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Related Experiment Videos

Anaesthetic machine checking guidelines: have we improved our practice?

R Langford1, T C E Gale, A H Mayor

  • 1Royal Cornwall Hospital, Anaesthetic Department, Truro, Cornwall, UK. rogerlangford@doctors.org.uk

European Journal of Anaesthesiology
|January 31, 2007
PubMed
Summary
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Despite increased awareness, anaesthetists still perform incomplete anaesthetic machine checks, often omitting crucial steps from the latest guidelines. Adherence to machine checking protocols remains suboptimal.

Area of Science:

  • Anesthesiology
  • Patient Safety
  • Medical Device Maintenance

Background:

  • Previous audits in 1992 highlighted incomplete anaesthetic machine checking practices.
  • Current study assesses improvements in anaesthetic machine checking since 1992.
  • Focus on adherence to the latest Association of Anaesthetists of Great Britain and Ireland guidelines.

Purpose of the Study:

  • To evaluate the current status of anaesthetic machine checking practices.
  • To determine if anaesthetists' practices align with updated guidelines.
  • To identify specific areas of non-compliance with machine checking protocols.

Main Methods:

  • A structured questionnaire was administered to 41 anaesthetists in the South West region.
  • Interviews were conducted on a single day to capture current practices.

Related Experiment Videos

  • Practices were assessed against the Association of Anaesthetists of Great Britain and Ireland machine checking guidelines.

    • Main Results:

    • 95% of anaesthetists performed incomplete machine checks, omitting at least one guideline step.
    • Commonly omitted checks included additional monitoring and ventilator function.
    • Only 5 out of 41 anaesthetists performed checks between cases; these checks were introduced in 2004 guidelines.
    • Despite 80% reporting recent guideline review, complete adherence was rare.

    Conclusions:

    • Anaesthetic machine checking guidelines are still poorly followed.
    • Significant increase in machine checks since 1992, but adherence remains suboptimal.
    • Checks introduced in the latest guidelines are most frequently omitted by anaesthetists.