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Run: Anesthesia Machine Pre-Use Check

Anesthesia Machine Pre-Use Check template for verifying gas supply, leak integrity, breathing circuit setup, and monitoring before the first case. Use it to ...

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Machine Identification and Pre-Use Setup

Confirm the machine is the intended unit for the case and is positioned for immediate use.
Verify the unit powers on normally and any built-in self-check completes without unresolved alarms or errors.
Confirm vaporizers are locked in place, correctly filled if applicable, and set according to local policy.

High-Pressure System

Check cylinder presence, secure mounting, and pressure adequate for backup oxygen supply.
Record the cylinder pressure reading and confirm it meets local minimum backup requirements.
Verify oxygen, nitrous oxide, and air hoses are connected to the correct outlets and are not loose, damaged, or crossed.
Confirm pipeline supply pressures are normal and no low-supply alarms are present.

Low-Pressure System

Check each flow control knob for smooth operation and proper closure.
Verify flowmeters are not cracked, stuck, or obscured and that bobbins respond appropriately.
Perform the machine leak test per local SOP and confirm the system holds pressure.
Confirm the oxygen flush delivers flow when activated and stops when released.

Breathing Circuit and Ventilator

Inspect hoses, connectors, Y-piece, and reservoir bag for cracks, disconnections, or wear.
Confirm the bag responds normally during manual ventilation and system testing.
Verify the adjustable pressure-limiting valve turns freely and is set per case requirements.
Inspect absorbent canister condition, color change, and evidence of channeling or depletion.
Run the ventilator test mode and verify normal cycling, pressures, and alarm behavior.

Gas Analyzer and Monitoring

Confirm the analyzer is operational and ready to display accurate readings.
Verify the monitor displays oxygen, anesthetic agent, and carbon dioxide values as applicable.
Check the sampling line for secure connection, kinks, moisture, or occlusion.
Confirm high and low alarm thresholds are configured before patient use.

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