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Anesthesia Technology · Cer.A.T.

Anesthesia Technology: Emergency Procedures and Troubleshooting

Anesthesia equipment failure troubleshooting and the anesthesia technician's role during an intraoperative emergency tested on the Cer.A.T. certification exam.

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What is the anesthesia technician's first action when the oxygen supply failure alarm sounds?
Immediately open the emergency backup oxygen cylinder and verify oxygen flow to the patient.
What safety device automatically cuts off nitrous oxide and other gas flow when oxygen pressure drops below a threshold?
The oxygen failure protection device (fail-safe valve).
What color are medical oxygen cylinders in the United States?
Green.
What color are nitrous oxide cylinders in the United States?
Blue.
What safety system prevents an oxygen regulator from being attached to the wrong gas cylinder?
The pin index safety system (PISS).
What safety system prevents pipeline hoses of different gases from being connected to the wrong wall outlet?
The diameter index safety system (DISS).
Approximately what pressure does a full E-cylinder of oxygen read?
About 1900 to 2200 psi.
What color change in soda lime CO2 absorbent indicates it is exhausted and needs replacement?
It turns violet (purple).
What is the recommended action if CO2 absorbent is suspected of being desiccated?
Replace the absorbent before use.
A rising inspired CO2 reading on capnography during a case suggests failure of what circle system component?
A unidirectional (one-way) valve.
What is the most common cause of a sudden loss of the capnography waveform during a case?
Esophageal intubation or a circuit disconnection.
What test checks the anesthesia machine's breathing circuit for leaks by pressurizing it to about 30 cm H2O with the APL valve closed?
The positive pressure leak test.
What test checks the anesthesia machine for leaks between the flowmeters and the common gas outlet?
The negative pressure leak test.
What part of the anesthesia machine does the high pressure leak test check?
The system from the gas cylinder to the first-stage pressure regulator.
What happens if the APL (adjustable pressure limiting) valve becomes stuck fully closed during manual ventilation?
Circuit pressure rises rapidly, risking barotrauma to the patient.

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