Skip to content
Menu
Green Theatres Network
  • About
  • Green Theatres
    • Recycling Streams in Theatre
    • Greening Surgical Care
    • Guide: Setting up a Green Theatres Group.
    • Where does the Green Theatre Network Fit in?
    • Ditching Desflurane
  • KN2OW Nitrous
    • Overview
    • Kn2oW Nitrous Steps
    • Nitrous Oxide Clinical Use Audit
    • Anaesthetic Machine Reported Nitrous Usage
    • Leaks
    • Nitrous Oxide Pipeline Test Protocol
    • Decommissioning Nitrous Oxide Pipelines
    • New Build – Nitrous Oxide
  • Latest Posts
  • Links and Resources
Green Theatres Network

Nitrous Oxide Pipeline Test Protocol

Posted on April 23, 2023

Several hospitals in Australia have demonstrated large leaks of nitrous oxide that were not detected by the routine inspections required by Section 6 of Australian Standard 2896:2021. As N2O is a schedule 4 drug and significant greenhouse gas, any such leakage is unacceptable.

Most modern anaesthetic machines provide a digital measurement of N2O pipeline pressure.

There are two ways to detect a leak: monitor pressure or weight of the nitrous cylinders. We have developed protocols for testing both.

Pressure Drop

We have developed a protocol for hospitals to test the entire pipeline system over a four hour period of zero demand. That means that during the test, alternative methods of administering N2O will be required (eg: entonox cylinders or N2O cylinders). The same principles and process can be applied to testing a ‘zone’ of a hospital. The protocol is based on the same principles used to commission a newly installed pipeline and go above the maintenance inspections required by AS 2896.

Download the Nitrous Oxide Pipeline Leak Test Protocol here (Pressure Test)

Weighing Cylinders to Detect Nitrous Leak

For some services, committing to a period ‘zero usage’ of nitrous for purpose of measurement may be unfeasible. The pressure test protocol tells you there is a leak but not how much. Adjusting the nitrous supply to be only from a single cylinder is required.

Measuring Nitrous Oxide Usage and Leak by Weighing CylindersDownload

If you have any suggestions on how to improve these test protocols, please let us know. Similarly if you’ve had some success in using the protocols, let us know as well!

  • kn2ow nitrous

Recent Posts

  • GTN WA Meeting June 24th 2026
  • Preoperative oral paracetamol
  • New Build – Nitrous Oxide
  • HVAC Setbacks
  • A model for facility nitrous leak reduction

Green Theatres Network WA Follow

Environmental sustainability for perioperative services across WA. https://t.co/wxD5hUoRKi #ditchthedes #reducereuserecycle

WAGreenTheatres
wagreentheatres

Green Theatres Network WA

@wagreentheatres ·
15 Jun

Join us online or in person for our next education and networking event! Free registration via this link before June 20th

Reply on Twitter 2066448455950880984 Retweet on Twitter 2066448455950880984 Like on Twitter 2066448455950880984 Twitter 2066448455950880984
wagreentheatres

Green Theatres Network WA

@wagreentheatres ·
6 Aug 2025

Updates on ⁦@ANZCA⁩ activities from ⁦@archiecurium⁩

Reply on Twitter 1953078787459203239 Retweet on Twitter 1953078787459203239 Like on Twitter 1953078787459203239 3 Twitter 1953078787459203239
wagreentheatres

Green Theatres Network WA

@wagreentheatres ·
6 Aug 2025

More on efficient patient warming from our chair Dr James Anderson

Reply on Twitter 1953077025998356801 Retweet on Twitter 1953077025998356801 1 Like on Twitter 1953077025998356801 2 Twitter 1953077025998356801
wagreentheatres

Green Theatres Network WA

@wagreentheatres ·
6 Aug 2025

And a country health perspective on nitrous from Broome Hospital

Reply on Twitter 1953069645319291147 Retweet on Twitter 1953069645319291147 Like on Twitter 1953069645319291147 1 Twitter 1953069645319291147
©2026 Green Theatres Network | WordPress Theme: EcoCoded