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Good afternoon Everyone,
We are currently investigating the re-use of anaesthetic circuits.
There is currently a breathing filter on the market for which the manufacturer claims that it will protect the circuit against ‘any patient derived contamination on the inside of the circuit.’ I would like to know if anyone is re-using their anaesthetic breathing circuits and if yes, for how long?Is there a breathing circuit on the market that can be used for 7 days and if yes, is it TGA approved? You can let me know off-line the name of the Manufacturer, if any
Much appreciate any assistance with this
Kind regards
Marlize SenekalInfection Prevention and Control Coordinator
St. Andrew’s War Memorial Hospital_________________________________________________________________
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Good afternoon,
Our current practice is the same as yours.
Kind regards
Dr Charlie (Charlene) Dixon
CNC
Infection Prevention & Control Unit | Safety & Quality
South West Hospital and Health Service | Queensland Government
Corner Bowen & Spencer Streets ROMA Qld 4455.
T: 07 46241823
E: Charlene.dixon@health.qld.gov.au
W:www.health.qld.gov.au/southwest
[cid:image002.png@01D5D052.8EFA6D50]South West Hospital and Health Service acknowledges the Traditional Owners of the land, and pays respect to Elders past, present and future.
Good morning
A question has been asked by our anaesthetics department to move way from our current practice of changing circuits after each session to weekly changes.
Our current practice is “there is filter at the patient end and a filter at the machine end. The filter is changed for each patient at the patient end and the circuit currently is changed at the end of each session be it morning or afternoon or if the circuit were moist in the meantime”.Can I ask other areas what their current practice is in relation to circuit changes please?
Wendy Beckingham
ADON Infection Prevention and Control
ph. (02) 512 43695 or mobile 0478408787
RN BHSc (Nursing) Grad Cert (Infection Control) MClinicalNurs CICP- E
Reliable | Progressive | Respectful | Kind
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Hi Wendy,
I think it is important to reference the circuit manufacturer’s instructions for use re circuit changes. If deviation from the manufacturer’s IFU occurs and there is an incident, then the organisation may be considered liable.
I realise that there is a filter on the patient end and that anything between the filter and the patient are changed after each use and appreciate why there is a preference to retain circuits for longer than a single use or a session. We definitely need to reduce healthcare waste!
However, I spend a lot of time observing perioperative practices and I think that there is a potential for an increased cross contamination risk to occur if the frequency of circuit changes were decreased that may need to be addressed as part of an overall change management strategy.
The issues I commonly see relating to circuits are:
* The tubing is often in contact with the floor.
* The bag and the tubing often get dropped on the floor at the end of the case.
* The design of the circuit tubing does not facilitate ease of wiping all these surfaces between patients.
* Tubing can be in contact with the patient under the drapes if the procedure involves the head end of the patient.
* Anaesthetist’s gloves are sometimes contaminated with saliva during intubation and then the contaminated gloves come into contact with the tubing as it is moved to connect to the patient and the bag as it is used to ventilate.Just my two cent’s worth.
Kind Regards
Terry McAuley
Director
MSc Medical Device DecontaminationPO BOX 2249, Greenvale, VIC Australia 3059
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Good morning
A question has been asked by our anaesthetics department to move way from our current practice of changing circuits after each session to weekly changes.
Our current practice is “there is filter at the patient end and a filter at the machine end. The filter is changed for each patient at the patient end and the circuit currently is changed at the end of each session be it morning or afternoon or if the circuit were moist in the meantime”.Can I ask other areas what their current practice is in relation to circuit changes please?
Wendy Beckingham
ADON Infection Prevention and Control
ph. (02) 512 43695 or mobile 0478408787
RN BHSc (Nursing) Grad Cert (Infection Control) MClinicalNurs CICP- E
Reliable | Progressive | Respectful | Kind
[cid:image002.png@01D5D04B.A2F5CCC0]Please consider the environment before printing this email
———————————————————————–
This email, and any attachments, may be confidential and also privileged. If you are not the intended recipient, please notify the sender and delete all copies of this transmission along with any attachments immediately. You should not copy or use it for any purpose, nor disclose its contents to any other person.
———————————————————————–
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
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The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
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