In our opinion, a "must" to have available at every surgery centre.
MHAUS recommendations on vapour cleaning filters for anaesthesia machine preparation and crisis management
Machine preparation:
"For both new and older machines, adding commercially available activated carbon filters (Vapor-Clean, Dynastetic) to the circuit will remove anaesthetic gases and avoid the need for cleaning the system as described. However, the anaesthesia machine should still be flushed with high fresh gas flows (= 10 L/min) for 90 seconds prior to placing the activated carbon filters on both the inhalation and exhalation ports. These filters are effective in keeping gas concentration below 5 ppm for up to 12 hours with fresh gas flows of at least 3 L / min. " Read more at mhaus.org
Crisis management
"Hyperventilate with 100% oxygen with a flow of 10L / min to flush volatile anaesthetics and lower ETCO2. Place activated carbon filters (Vapor-Clean™, Dynasthetics, Salt Lake City, UT) in the inspiratory and expiratory sides. The Vapor-Clean™ filter can become saturated after one hour, therefore a replacement set of filters should be replaced after every hour of use.
Furthermore, MHAUS president Henry Rosenburg, MD issued this statement at the MHAUS:
"At the MHAUS hotline consultants/professional advisory board meeting in May 2011, we reviewed the evidence for the use of the Vapor-Clean™, in preparation for the anaesthesia machine. Several of the consultants then clinically tested the devices. We were all impressed that the device (Vapor-Clean) did what the researchers said it would do: quickly reduce the concentration of anaesthetic gases entering the patient from the anaesthesia machine to practically zero! "
The statement comes after several months of evaluations conducted by doctors and professionals who volunteer on the board of directors that governs MHAUS and the professional advisory board that advises the board in formulating all medical policies and decisions of MHAUS.
Also, please refer to: European website www.EMHG.org where the guidelines state 'how to optimally prepare an MH patient' and 'treating a patient with an MH reaction' stating how to use the filters.