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Anaesthesia · Complications, recovery, and safety culture: curriculum recognition
Sample itemDuring a laparotomy the ventilator of the anaesthesia machine stops and cannot be restarted, and the cause is not obvious. What is the immediate priority?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Disconnect from the machine and ventilate with a self-inflating bag on oxygen
When a machine fails and the problem is not quickly found, the patient is disconnected and ventilated with an independent self-inflating bag, using oxygen if available. The aim is to keep the patient oxygenated while a replacement is obtained, and anaesthesia is continued intravenously if needed. A self-inflating bag should be available at every anaesthetic location.
Option by option
A. Disconnect from the machine and ventilate with a self-inflating bag on oxygen (correct)
Correct. An independent self-inflating bag keeps the patient ventilated while the fault is dealt with.
B. Keep troubleshooting the machine while the patient stays connected
Troubleshooting while the patient is connected leaves the patient unventilated.
C. Raise the vaporiser setting to keep the patient asleep
More vapour does nothing to ventilation and may deepen anaesthesia in an unventilated patient.
D. Pause the surgery and wait for the machine to be serviced
Waiting for a service call leaves the patient without ventilation and is unsafe.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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