Anesthesia during total electrical failure, or what would you do if the lights went out?

Welch, Rebecca H.; Feldman, Jeffrey M.

doi:10.1016/0952-8180(89)90076-7

Cited by 7 publications

(10 citation statements)

References 1 publication

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“…4 Pump interruption with no generator backup occurred in 163 cases with no injury reported. In a recent report, 5 during carotid surgery, a leaking urimeter caused trip switches into the theatre to reset, resulting in electrical shutdown. In another report, during CPB, an unprecedented demand to the electrical provider during a heat wave resulted in total loss of power to a hospital complex.…”

Section: Discussionmentioning

confidence: 99%

Electrical failure during cardiopulmonary bypass: an evaluation of incidence, causes, management and guidelines for preventative measures

et al. 2002

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The incidence of electrical failure during cardiopulmonary bypass (CPB) has been reported to occur in approximately 1 per 1000 cases. While the resultant morbidity and mortality is low, electrical failure is a life-threatening scenario. We report three major electrical failures during CPB in a patient population of 3500 over a 15-year period. These cases involved mains failure and generator shut down, mains failure and generator power surge, and failure of the uninterruptable power supply (UPS), which caused protected sockets to shut down. Protocols for preventative maintenance, necessary equipment, battery backup and guidelines for the successful management of such accidents during CPB are discussed.

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Section: Discussionmentioning

confidence: 99%

Electrical failure during cardiopulmonary bypass: an evaluation of incidence, causes, management and guidelines for preventative measures

et al. 2002

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“…The body of evidence on IOPFs is predominantly based on expert opinion or case reports 1 . The six case reports that we reviewed discussed construction or maintenance failures, 5,6,10,11 fires, 13 and regional blackouts 12 . Three of the six case reports had a variation of construction or maintenance calamities that caused the unexpected IOPFs 5,10,11 .…”

Section: Overview Of the Literaturementioning

confidence: 99%

“…Operating rooms and the life‐sustaining equipment used in them depend on uninterrupted electrical power to function effectively 1‐7 . Intraoperative power failures (IOPFs) put surgical patients at risk for adverse outcomes, including hypoxemia, intraoperative awareness, and hemodynamic instability, and surgical mishaps caused by stress and confusion during the crisis 2 .…”

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confidence: 99%

“…The incidence and degree of power failures are anticipated to increase globally because of urbanization and climate change 1 . All members of the surgical team, particularly the anesthesia professional and the RN circulator coordinating the response, should be familiar with steps to take to optimize patient safety during an IOPF 2‐6 …”

mentioning

confidence: 99%

“…Operating room crises are low‐incidence high‐risk events that are stressful and require rapid and coordinated patient care under crucial time restraints 8‐10 . Similar to other OR crises (eg, malignant hyperthermia, refractory hypoxemia, cardiac arrest), an IOPF can be detrimental to a patient if it is not effectively managed 2‐6,8,11‐13 …”

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confidence: 99%

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Creating a Cognitive Aid for Use During Intraoperative Power Failures

Jackson¹,

Morgan²,

Leddy³

et al. 2021

AORN Journal

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An intraoperative power failure (IOPF) is a complete or partial absence of the electrical power supply with or without the availability of a backup generator system during an operative or other invasive procedure. An IOPF can be stressful for the OR team and puts surgical patients at risk for adverse outcomes. To prepare providers for an IOPF, a CRNA piloted a project to create an evidence‐based, facility‐specific cognitive aid (CA) to guide decision making and enhance patient management and outcomes during an IOPF. The project team tested the battery‐power capabilities of essential anesthesia equipment, including anesthesia gas machines, IV pumps, and vital sign monitors, and included the results in the CA. A needs assessment survey was sent to the anesthesia professionals at the facility to promote clinician buy‐in and solicit feedback for creating the CA.

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Disaster Planning, Part I

Lewis¹,

Aghababian²

1996

Emergency Medicine Clinics of North America

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Anesthesia during total electrical failure, or what would you do if the lights went out?

Cited by 7 publications

References 1 publication

Electrical failure during cardiopulmonary bypass: an evaluation of incidence, causes, management and guidelines for preventative measures

Electrical failure during cardiopulmonary bypass: an evaluation of incidence, causes, management and guidelines for preventative measures

Creating a Cognitive Aid for Use During Intraoperative Power Failures

Disaster Planning, Part I

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