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• W2018076576 abstract "After successfully completing my Primary FRCA in June 2000, I wrote to the Royal College of Anaesthetists (RCA) to clarify one of the OSCE stations. While performing the anaesthetic machine check, I was asked to test the oxygen failure alarm (OFA). At the time, I stated ‘in the Association of Anaesthetists of Great Britain and Ireland (AAGBI) 1997 guidelines the OFA is not formally tested because the machine is never disconnected from the oxygen supply’. Despite this statement, I was asked to perform the check anyway. There seems to be a conflict between what we are expected to do and what we actually do in daily practice with regards to the anaesthetic machine check. Do we follow the guidelines or not? I wrote to the RCA seeking clarification. I received a reply that also seemed to contradict itself. On the one hand, the letter stated ‘You were clearly correct in the way you checked the anaesthetic machine in the machine check station in the OSCE’. The letter stated that the OFA test was omitted from the guidelines as ‘very few machines now work on cylinders and it was a step that was widely omitted anyway’. Later on, the letter continued, ‘The examiner was however also correct. The OFA should indeed be tested when the machine is only utilising cylinders for the gas supply, as a failure could occur … The advice you or your consultants should offer to future candidates is to adhere to the AAGBI 1997 guidelines both in clinical practice and in the examinations.’ How then are we to check our machines? If we are to adhere to the AAGBI 1997 guidelines then we should not be testing the OFA as it is not part of those guidelines. The guidelines state ‘Identify and take note of the gases which are being supplied by pipeline, confirming with a “tug-test” that each pipeline is correctly inserted into the appropriate gas supply terminal’. It continues, ‘check that the anaesthetic machine is connected to a supply of oxygen and that an adequate supply of oxygen is available from a reserve oxygen cylinder’. As far as I can ascertain, the guidelines do not distinguish between machines run solely on a cylinder supply and those run on pipeline gas supply. My feeling is that this situation is ambiguous. If we have guidelines then we should adhere to them. If they are not being adhered to then should they be changed? I believe that the guidelines should contain a footnote stating that the OFA should be tested if the anaesthetic machine is only attached to cylinders for its gas supply. Everybody would then know where they stood and a single standard could be enforced in both clinical practice and the examinations." @default.
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• W2018076576 date "2001-05-02" @default.
• W2018076576 modified "2023-09-27" @default.
• W2018076576 title "Machine check OSCE - which guidelines are right?" @default.
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• W2018076576 doi "https://doi.org/10.1046/j.1365-2044.2001.02047-6.x" @default.
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