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Anesth Analg 2006;103:1595
© 2006 International Anesthesia Research Society
doi: 10.1213/01.ane.0000247032.40463.b4

LETTER TO THE EDITOR

Editor-in-Chief Steven L. Shafer

Run Out of O2? Use Transport O2

Jonathan L. Benumof, MD

Department of Anesthesiology; UCSD Medical Center (8812); San Diego, California; jbenumof{at}ucsd.edu

To the Editor:

Lorraway et al. (1) evaluated the response of 20 residents to a simulated oxygen pipeline failure (1). The experimental design allowed only one option, to replace the exhausted oxygen cylinder(s) on the anesthesia gas machine with a new one. However, a more realistic therapeutic option would have been to simply take a transport oxygen cylinder with a regulator already on it, along with the transport Mapleson circuit that comes with it and provide oxygen in a more timely fashion via this mechanism. Transport oxygen cylinders and Mapleson circuits, which should be available at every anesthetizing location, would be my choice of an emergency oxygenation bridge. I believe most practitioners would agree with this choice, while the exhausted oxygen cylinder on the gas machine is being replaced.

REFERENCE

  1. Lorraway PG, Savoldelli GL, Joo HS, et al. Management of simulated oxygen supply failure: is there a gap in the curriculum? Anesth Analg 2006;102:865–7.[Abstract/Free Full Text]




This Article
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Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins and Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press