Initial Situation And Consequences; Shortage In Iv Medication For Sedation; Central Gas Supply Shortage - Dräger Fabius Series Manual

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Initial situation and consequences

Initial situation according to the customer letter "COVID-19: Usage of Dräger anesthesia devices for long-
term ventilation". That means:

high fresh gas flow 1.5xMV

no volatile anesthetic agent

soda lime at the device

active AGS

manual breathing bag connected

mechanical filters with HME connected
Potential impact:
 High gas supply consumption according to the set fresh gas flow (150% of the minute volume)
 Compressed air consumption due to the active AGS additional to the fresh gas flow
 IV medication needed for sedation
 Low soda lime consumption
 Drying out of the soda lime, but no patient harm (e.g. compound formation), as no volatile
anesthetic agent must be used
 No room air contamination
 Reduced humidity in the circle system
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Shortage in IV medication for sedation


Use alternative IV drugs for sedation

Avoid usage of volatile anesthetic agents
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Central gas supply shortage


Reduce the fresh gas flow, see chapter 12

If possible, connect gas cylinders to the device

If one gas (O or AIR) fails, fresh gas supply can continue with the remaining gas. However, it
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is not possiblbe to adjust the fresh gas O concentration any longer.
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