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1 PAH CARDIAC ANAESTHESIA + PERFUSION | Oxygen Failure 2017 OXYGEN FAILURE Signs of O2 failure: - Dark arterial blood - M3 arterial sats alarm - M3 or B-Care Low venous sats alarm - Oxygen analyser low FiO2 alarm sounding - Low PaO2 on ABG - O2 failure alarm sounding Check: - O2 line screwed into the wall port - O2 line tap open - O2 connected to the oxygenator gas inlet (green filter) - Rotameter flow turned on - Blender turned to 100% oxygen - Oxygenator free of clots If Oxygen not flowing: 1. Ask for green patient oxygen tubing to be connected to the anaesthetic machine oxygen outlet. (found in emergency box) 2. Connect the other end to the Oxygenator gas inlet; you will need to insert a spigot into the inlet in order to connect the oxygen (found in emergency box taped to oxygen tubing) or have strong hands to attach tubing directly 3. Control the sweep speed from the anaesthetic machine 4. In the event of piped oxygen failure, oxygen can still be delivered from the bottle on the anaesthetic machine. Urgently request an additional Oxygen bottle

Oxygen failure tqcaap.net/wp-content/uploads/2018/03/Oxygen-failure-t.pdf- Rotameter flow turned on - Blender turned to 100% oxygen - Oxygenator free of clots If Oxygen not flowing:

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PAHCARDIACANAESTHESIA+PERFUSION|OxygenFailure2017

OXYGENFAILURESignsofO2failure:

- Darkarterialblood- M3arterialsatsalarm- M3orB-CareLowvenoussatsalarm- OxygenanalyserlowFiO2alarmsounding- LowPaO2onABG- O2failurealarmsounding

Check:

- O2linescrewedintothewallport- O2linetapopen- O2connectedtotheoxygenatorgasinlet(greenfilter)- Rotameterflowturnedon- Blenderturnedto100%oxygen- Oxygenatorfreeofclots

IfOxygennotflowing:

1. Askforgreenpatientoxygentubingtobeconnectedtotheanaestheticmachineoxygenoutlet.(foundinemergencybox)

2. ConnecttheotherendtotheOxygenatorgasinlet;youwillneedtoinsertaspigotintotheinletinordertoconnecttheoxygen(foundinemergencyboxtapedtooxygentubing)orhavestronghandstoattachtubingdirectly

3. Controlthesweepspeedfromtheanaestheticmachine

4. Intheeventofpipedoxygenfailure,oxygencanstillbedeliveredfromthebottleontheanaestheticmachine.UrgentlyrequestanadditionalOxygenbottle