A ge healthcare service representative performed a checkout of the avance and found it to function within manufacturer¿s specifications.A review of the machine logs did not reveal any malfunction or device error that contributed to the reported fire.The hospital reported that 6 liters per minute (lpm) oxygen was in use along with a cautery device.The anesthesia patient safety foundation (apsf) fire prevention algorithm advises the use of oxygen concentrations below 30% to minimize risk of an operating room fire.The anesthesia machine is intended to be a continuously attended device used by clinicians trained in proper anesthesia delivery techniques.The anesthesia machine allows the clinician to set the fresh gas concentration to air to help prevent oxygen enrichment.Fresh gas oxygen concentration is under the control of the clinician, and the clinician has to balance fresh gas oxygen flow, patient uptake, breathing circuit leak, and gas analysis to maintain appropriate fio2.
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