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safeguards to alert the anesthesiologist to a variety of possible problems. This is a significant advance in anesthesia safety for patients and in equipment reliability for physicians.

“This machine is an excellent supplement to the senses about a patient's condition. There is no substitute for the human operator, but with the Narkomed's multiple layers of system checks, this machine will identify many situations before they become problems,” Dr. Russell explained.

Among other advantages of the Narkomed 2B is a sophisticated ventilator which permits surgery on pa tients with advanced lung disease. Appropriate for any surgery from minor to complicated, the Narkomed is able to operate completely for eight hours without outside power. The in-line oxygen analyzer is a safeguard against improper gas mix tures. The Narkomed also makes several kinds of laser surgery possible at CMH.

CVPS provides billing and management assistance to Dr. Russell and the anesthesia department, th< physicians of the emergency department and the radiology department, and the physicians who interpret EKGsatCMH.

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