March M G, Crowley J J
Department of Anesthesiology, George Washington University Hospital, Washington, D.C. 20037.
Anesthesiology. 1991 Nov;75(5):724-9. doi: 10.1097/00000542-199111000-00002.
The United States Food and Drug Administration (FDA) published the Anesthesia Apparatus Checkout Recommendations (checklist) in order to improve the methods anesthesiologists use to check out anesthesia equipment. Whereas no published study of current checkout methods had been performed since the introduction of the FDA checklist, we compared anesthesiologists' current anesthesia equipment pre-use checkout methods with anesthesiologists' use of the FDA checklist. One hundred and eighty-eight anesthesiologists were tested to compare the number of prearranged anesthesia machine faults that could be detected with 1) their own checkout methods and 2) the FDA checklist. The average number of machine faults detected with the individual anesthesiologists' checkout methods was 1.03/4 (25.8%) and with the FDA checklist was 1.20/4 (29.9%). For only one fault, malfunction of the oxygen/nitrous oxide ratio protection system, was there a statistically significant improvement (P less than 0.01) with the use of the FDA checklist. Anesthesiologists in residency training detected more faults (average 2.46/8, 30.8%) than did anesthesiologists who primarily practiced direct patient care (1.98/8, 23.9%) (P less than 0.01). Our data indicate that the mere introduction of the FDA checklist did not improve the ability of anesthesiologists to detect anesthesia machine faults.
美国食品药品监督管理局（FDA）发布了《麻醉设备检查建议》（清单），以改进麻醉医生检查麻醉设备的方法。鉴于自FDA清单推出以来，尚未有关于当前检查方法的公开研究，我们将麻醉医生当前的麻醉设备使用前检查方法与他们使用FDA清单的情况进行了比较。对188名麻醉医生进行了测试，以比较用1）他们自己的检查方法和2）FDA清单能够检测出的预先设置的麻醉机故障数量。麻醉医生各自的检查方法检测出的平均机器故障数量为1.03/4（25.8%），而使用FDA清单检测出的平均机器故障数量为1.20/4（29.9%）。仅对于氧气/氧化亚氮比例保护系统故障这一个故障，使用FDA清单时有统计学上的显著改善（P小于0.01）。住院医师培训阶段的麻醉医生检测出的故障更多（平均2.46/8，30.8%）高于主要从事直接患者护理的麻醉医生（1.98/8，23.9%）（P小于0.01）。我们的数据表明，仅仅引入FDA清单并不能提高麻醉医生检测麻醉机故障的能力。
