An audit of anaesthetic fresh-gas flow rates and volatile anaesthetic use in a teaching hospital
Kennedy, R.; French, R.
New Zealand Medical Journal 116(1174): U438
2003
ISSN/ISBN: 0028-8446 PMID: 12766784 Document Number: 559389
Aim The large number of anaesthetics administered means that the total cost to a hospital of inhalational anaesthetic agent such as isoflurane or sevoflurane can be considerable. The total anaesthetic gas flow is a major determinant of the use of these agents. Modern anaesthetic machines and monitoring facilitate reduced gas flows, which can significantly reduce wastage of these anaesthetic agents. The purpose of this study was to audit gas flow rates and volatile anaesthetic use. Methods We audited gas flows and choice of anaesthetic agent over two one-month periods in one theater a Christchurch Hospital. Data were collected directly from the anaesthetic machine using a computer. The second study period was clearly advised and followed widespread discussion of results from he first study period. Results Average fresh-gas flow was approximately 2 l/min (Month 1 = 2.0 l/min, Month 2 = 2.1 l/min). Use of the more expensive agent, sevoflurane, increased but gas flows with this agent decreased. Conclusions Given the low flows used, the small difference between study periods was not surprising. The gas flows recorded represent responsible use of anaesthetic agents and are at least as good as flows achieved in previous studies that employed various methods to encourage their reduction.