Yasny Jeffrey, Soffer Robert
Department of Anesthesiology, Box 1010, Mount Sinai Medical Center, One Gustave L. Levy Place, New York, NY 10029, USA.
Anesth Prog. 2005 Summer;52(2):65-9. doi: 10.2344/0003-3006(2005)52[65:ACOAPF]2.0.CO;2.
In the operating room, safely administering anesthesia amidst a major power failure can instantly present one with a formidable challenge. A case is presented involving a 23-year-old healthy woman who underwent a complex oral and maxillofacial surgery to correct a dentofacial deformity. Three hours into the case and with the patient's maxilla downfractured, the overhead surgical lights blacked out, and there was an apparent loss of the anesthesia machine's ability to function. Providing adequate oxygenation, ventilation, anesthesia levels, monitoring of vital signs, and transportation of the patient were some of the challenges faced, and the response to this unexpected event is recounted. The importance of one's familiarity with an anesthesia machine's backup battery supply, routinely checking machinery, ensuring that appropriate and sufficient supplies are readily available, exercising calm leadership with clear communication, and formulating a clear plan with backup alternatives are discussed. Various recommendations are proposed with respect to the preparation for and the prevention of a power failure in the operating room. This report's account of events is aimed to "shed some light" on this topic, serve as a check of one's own preparedness, and facilitate the optimal management of a similarly unexpected incident.
在手术室中，在重大停电期间安全实施麻醉会立刻给人带来巨大挑战。本文介绍了一例病例，患者为一名23岁健康女性，接受了复杂的口腔颌面外科手术以矫正牙颌面畸形。手术进行到三小时，患者上颌骨已下行骨折时，头顶的手术灯熄灭，麻醉机明显失去功能。面临的挑战包括提供充足的氧合、通气、麻醉水平、监测生命体征以及转运患者等，本文讲述了对这一意外事件的应对情况。讨论了熟悉麻醉机备用电池供应、定期检查设备、确保随时有合适且充足的物资、以清晰的沟通展现冷静的领导力以及制定有备用方案的明确计划的重要性。针对手术室停电的准备和预防提出了各种建议。本报告对事件的描述旨在就此话题“提供一些启示”，作为对自身准备情况的审视，并促进对类似意外事件的最佳管理。
