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Which of the following would be least likely to cause an overdose of anesthetic agent?

A) Damaged O-ring on the vaporizer-mounting bracket
B) Filled vaporizer that has been tipped over
C) Vaporizer usage in an especially hot environment
D) Failed interlock system
E) All of the above.

1 Answer

3 votes

Final answer:

Using a vaporizer in an especially hot environment is least likely to cause an overdose of the anesthetic agent because modern anesthesia machines are designed to regulate and maintain appropriate concentrations, despite potential increases in vapor pressure due to higher temperatures.

Step-by-step explanation:

When considering which option would be least likely to cause an overdose of an anesthetic agent, it is important to understand how anesthetic machines and vaporizers work and the potential malfunctions that can lead to dosage errors. A damaged O-ring on the vaporizer mounting bracket (A) can lead to leaks and potentially an incorrect dosage. A vaporizer tipped over (B) can cause liquid anesthetic to be inappropriately delivered. Using a vaporizer in a hot environment (C) can increase the vapor pressure within, potentially delivering a higher concentration of agent. A failed interlock system (D) can also result in delivering too much anesthetic if it prevents the regulation of vapor flows.

Inhalational anesthetic substances such as halothane, enflurane, and isoflurane are delivered using an anesthesia machine that mixes anesthetics with oxygen and air, and monitors both patient and machine parameters. These compounds are less flammable than diethyl ether and have a wide safety margin; however, they are not without risks to operating room personnel.

Given the choices and understanding that inhalant anesthetics like enflurane, halothane, and isoflurane have replaced diethyl ether due to their improved safety profile, option C, using a vaporizer in an especially hot environment, would be least likely to cause an overdose of the anesthetic agent. While high temperatures can affect vapor pressure, modern anesthetic machines are typically designed to regulate and maintain appropriate concentrations.

User Henrique Ramos
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