I would also agree with RC Goat. Although TIVA is getting more popular (e.g.
my anaesthetist brother hasn't used volatile anaesthetics for over two
years!), it is still not considered routine by most anaesthetists. Volatile
agents also have a role in the management of bronchospasm in status
asthmaticus. The ventilation characteristics of an oxylog are rather
primitive, and especially when it comes to the asthmatics you will need fine
tuning of I/E ratios, waveforms and PEEP etc. Of course a Boyles 'n' Blease
can't do any of this, but emergency departments should be seen as critical
care areas, and on that basis we should have ready access to as
sophisticated monitoring and ventilation equipment as found on intensive
care units. On with the revolution!
Adrian Fogarty
----- Original Message -----
From: "Rowley Cottingham"
Subject: Re: anaesthetic machines in A&E
> Of course you need anaesthetic machines. As you know, I have equipped each
bay in the new Emergency Unit with
> its own to ensure best quality care throughout. There are many occasions
where patients need emergency intubation
> and ventilation, and must be anaesthetised to facilitate this. They then
need to be kept anaesthetised, and this can
> only safely be done with an interlinked modern anaesthetic provision.
>
> Best wishes,
>
> Rowley Cottingham
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