Interruption in the supply of breathing gas during general anesthesia due to malposition of the vaporizer -A case report

We report a case of interruption in the supply of breathing gas during general anesthesia caused by malposition of the Drager Vapor 2000® vaporizer, which was accidentally tilted and lifted off the Selectatec manifold of the anesthesia machine. Because the patient was an 1-month-old infant, we could...

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Bibliographic Details
Published in:Korean journal of anesthesiology 2010, 59(4), , pp.270-274
Main Authors: Kim, Hyo Jin, Kim, Mi Woon
Format: Article
Language:English
Subjects:
Case Report
gas leak
selectatec
vaporizer
마취과학
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Summary:We report a case of interruption in the supply of breathing gas during general anesthesia caused by malposition of the Drager Vapor 2000® vaporizer, which was accidentally tilted and lifted off the Selectatec manifold of the anesthesia machine. Because the patient was an 1-month-old infant, we couldn't check if he had experienced awareness with recall. We emphasize the importance of checking the anesthetic vaporizer after mounting it on the back bar of the anesthesia machine.
ISSN:2005-6419
2005-7563
DOI:10.4097/kjae.2010.59.4.270