Abstract
We thank Dr Fenton for his comments and admit that the guideline [1] is designed for continuous-flow anaesthetic workstations. We regret this omission. We are aware that the Universal Anaesthesia Machines is undergoing clinical assessment in the UK, and would welcome development of a checklist specifically for this equipment, which is ideal for use in austere environments; the Association is proud of its long history of working to improve safety in anaesthesia around the world, principally through the work of its International Relations Committee (see http://www.aagbi.org/international/international-relations-committee). We cannot agree with his suggestion that the oxygen flush is not meant to increase oxygen concentration in the inspired gas: as long ago as 1968, BS4272 [2] specifically described this feature as the emergency oxygen supply, but we agree that this is not a feature of drawover apparatus. Notwithstanding the limitations Dr Fenton has pointed out, we hope he would agree that the guideline covers all of the equipment necessary for safe anaesthesia, not just the workstation, and that much of this is applicable internationally. We hope others using the guideline may avoid the hazards encountered by anaesthetists in the UK and referenced by the many device alerts.
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