Ja. Berge et al., A SIMPLIFIED CONCEPT FOR CONTROLLING OXYGEN MIXTURES IN THE ANESTHETIC MACHINE - BETTER, CHEAPER AND MORE USER-FRIENDLY, Acta anaesthesiologica Scandinavica, 39(4), 1995, pp. 563-567
Modern anaesthetic machines are equipped with several safety component
s to prevent delivery of hypoxic mixtures. However, such a technical d
evelopment has increased the complexity of the equipment. We report a
reconstructed anaesthetic machine in which a paramagnetic oxygen analy
zer has provided the means to simplify the apparatus. The new machine
is devoid of several components conventionally included to prevent hyp
oxic mixtures: oxygen failure protection device, reservoir O-2 alarm,
N2O/air selector, and proportioning system for oxygen/nitrous oxide de
livery. These devices have been replaced by a simple safety system usi
ng a paramagnetic oxygen analyzer at the common gas outlet, which in a
feed-back system cuts off the supply of nitrous oxide whenever the ox
ygen concentration falls below 25%. The simplified construction of the
anaesthetic machine has important consequences for safety, cost and u
ser-friendliness. Reducing the complexity of the construction also sim
plifies the pre-use checkout procedure, and an efficient 5-point check
list is presented for the new machine.