An audit of anaesthetic fresh-gas flow rates and volatile anaesthetic use in a teaching hospital.
OBJECTIVE
The large number of anaesthetics administered means that the total cost to a hospital of inhalational anaesthetic agent such as isoflurane or sevoflurane can be considerable. The total anaesthetic gas flow is a major determinant of the use of these agents. Modern anaesthetic machines and monitoring facilitate reduced gas flows, which can significantly reduce wastage of these anaesthetic agents. The purpose of this study was to audit gas flow rates and volatile anaesthetic use.


METHODS
We audited gas flows and choice of anaesthetic agent over two one-month periods in one theatre at Christchurch Hospital. Data were collected directly from the anaesthetic machine using a computer. The second study period was clearly advised and followed widespread discussion of results from the first study period.


RESULTS
Average fresh-gas flow was approximately 2 l/min (Month 1 = 2.0 l/min, Month 2 = 2.1 l/min). Use of the more expensive agent, sevoflurane, increased but gas flows with this agent decreased.


CONCLUSIONS
Given the low flows used, the small difference between study periods was not surprising. The gas flows recorded represent responsible use of anaesthetic agents and are at least as good as flows achieved in previous studies that employed various methods to encourage their reduction.
Kennedy
Ross
R
Department of Anaesthesia, Christchurch Hospital, Christchurch, New Zealand. ross.kennedy@chmeds.ac.nz
French
Richard
R
D000764:Anesthesia, Closed-Circuit / Q000191:economics / Q000295:instrumentation; D018685:Anesthetics, Inhalation; D006784:Hospitals, Teaching; D007530:Isoflurane; D008485:Medical Audit; D008738:Methyl Ethers; D009520:New Zealand; D000077149:Sevoflurane; D012815:Signal Processing, Computer-Assisted
D018685:Anesthetics, Inhalation; D008738:Methyl Ethers; D000077149:Sevoflurane; D007530:Isoflurane