20 Prima 451 – User Manual
Installation and Pre-use Checks
Monitors
1. Working and configured correctly. Refer to warning in section 3.9.6.
2. Alarms, limits and volumes set
Airway equipment
1. Full range required, working, with spares. Refer to warnings 1 and 3 in section 1
NOTE:
Record this check in the patient record
Summary: Don’t forget:
1. Self-inflating bag. Refer to warnings 2 and 3 in section 1
2. Difficult airway equipment. Refer to warnings 2 and 3 in section 1
3. Resuscitation equipment. Refer to warnings 2 and 3 in section 1
4. Total intravenous anaesthesia (TIVA) and/or other infusion equipment. Refer
to warnings 2 and 3 in section 1
PRE-USE CH
E
C
K
L
IST - BEFORE EACH CLINICAL CASE
Breathing system
1. Whole system unobstructed and leak free using ‘two-bag’ test (see below)
2. Vaporizers – fitted correctly, filled, leak free, plugged in (if necessary)
3. Alternative systems (Bain, T-piece) – checked Refer to warnings 2 and 3 in
section 1
Ventilator
1. Working and configured correctly
2. Refer to Penlon ventilator user manual for pre-use check instructions
Airway equipment
Full range required, working, with spares. Refer to warnings 2 and 3 in section 1
Suction
Clean and working
NOTE:
Record this check in the patient record
An
incorrectly functioning
machine must be repaired by a s
u
i
t
a
b
l
y
qualified
person before
u
s
e
.
The two-bag test
A two-bag test should be performed after the breathing system, vaporizers and
ventilator have been checked individually
1. Attach the patient end of the breathing system (including angle piece and filter) to
a test lung or bag. Refer to warnings 1 and 3 in section 1
2. Set the fresh gas flow to 5 L/min and ventilate manually. Check the whole
breathing system is unobstructed and the non-return valves are moving. Check
the function of the APL valve by squeezing both bags.
3. Turn on the ventilator to ventilate the test lung. Turn off the fresh gas flow, or
reduce to a minimum. Open and close each vaporizer in turn. There should be no
loss of volume in the system.
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