Weller J, Merry A, Warman G, Robinson B
Faculty of Medical and Health Sciences, University of Auckland & Auckland City Hospital, New Zealand.
Anaesthesia. 2007 Feb;62(2):122-6. doi: 10.1111/j.1365-2044.2006.04899.x.
Oxygen pipeline failure is a rare but potentially catastrophic event which can affect the care of patients throughout an entire hospital. Anaesthetists play a critical role in maintaining patient safety, and should be prepared to support an institution-wide emergency response if oxygen failure occurs. We tested the preparedness for this through observation of 20 specialist anaesthetists to a standardised simulator scenario of central oxygen supply failure. Responses were documented using multiple approaches to ensure accuracy. All anaesthetists demonstrated safe immediate patient care, but we observed a number of deviations from optimal management, including failure to conserve oxygen supplies and, following restoration of gas supplies, failure to test the composition of the gas supplied from the repaired pipelines. This has implications for patient care at both individual and hospital level. Our results indicate a gap in anaesthesia training which should be addressed, in conjunction with planning for effective hospital-wide responses to the event of critical resource failure.
氧气管道故障是一种罕见但可能具有灾难性的事件，它可能会影响整个医院患者的护理。麻醉医生在维护患者安全方面发挥着关键作用，并且如果发生氧气故障，应准备好支持全院范围的应急响应。我们通过观察20名专科麻醉医生对中央氧气供应故障的标准化模拟场景的应对情况，测试了对此类情况的准备程度。使用多种方法记录反应情况以确保准确性。所有麻醉医生都展示了对患者的安全即时护理，但我们观察到一些与最佳管理的偏差，包括未能节约氧气供应，以及在气体供应恢复后，未能测试修复管道供应的气体成分。这对个体和医院层面的患者护理都有影响。我们的结果表明麻醉培训存在差距，应加以解决，同时要规划好针对关键资源故障事件的有效的全院范围应对措施。
