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Hi everyone, > Of course you need anaesthetic machines. Well, to take a contrary opinion.... no, they are not required.... I guess that it depends on what we mean by 'anaesthetic machines'. I take it we are talking about a Boyles machine with Nitrous / Inhaled anaesthetic / O2 / Ventilator..... >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. Agree > They then need to be kept anaesthetised, and this can only safely be done with an interlinked modern anaesthetic provision. This is where the majority of EM Docs in Australia would disagree. It is perfectly safe to 'anaesthetise' patients without access to a Boyles machine. All that is required is a Morph + Midaz infusion to keep them asleep, and an Oxylog, and an appropriate monitoring environment. The sole purpose, as far as I can see, of a Boyles machine is to make the Anaesthetists feel at home if / when they enter the department to take care of someone's airway. This, and the fact that they take a lot of maintenance to keep fully operational. Interested to hear alternative viewpoints. Paul Dr Paul Bailey MB BS FACEM Western Australia > > Best wishes, > > > Rowley Cottingham > > [log in to unmask] > http://www.emergencyunit.com >