[Intra-operative drop in sevoflurane and oxygen concentrations. Leakage of the ventilation system]
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[Intra-operative drop in sevoflurane and oxygen concentrations. Leakage of the ventilation system]. / Roiss, Mika; Bremer, K; Schmidt, Gunter Niels.
in: ANAESTHESIST, Jahrgang 58, Nr. 12, 12, 2009, S. 1226-1230.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - [Intra-operative drop in sevoflurane and oxygen concentrations. Leakage of the ventilation system]
AU - Roiss, Mika
AU - Bremer, K
AU - Schmidt, Gunter Niels
PY - 2009
Y1 - 2009
N2 - After problem-free induction of narcosis in an 84-year-old female patient an intra-operative drop in sevoflurane and oxygen concentrations occurred during low-flow anesthesia. Although the concentrations of sevoflurane and oxygen in the fresh gas flow were increased no adequate elevation of the inspiratory concentrations could be achieved. Disconnection of the Dräger Primus IE manual bag-valve-mask could be identified as the cause of the drop in concentrations. Interestingly no error alarm function was initiated. This case demonstrates how important knowledge of the function, set-up and alarm conditions of respiratory machines is. This should be an important component of training in anesthesiology as well as securely established algorithms for difficult ventilation to ensure safe anesthesia despite technical failures.
AB - After problem-free induction of narcosis in an 84-year-old female patient an intra-operative drop in sevoflurane and oxygen concentrations occurred during low-flow anesthesia. Although the concentrations of sevoflurane and oxygen in the fresh gas flow were increased no adequate elevation of the inspiratory concentrations could be achieved. Disconnection of the Dräger Primus IE manual bag-valve-mask could be identified as the cause of the drop in concentrations. Interestingly no error alarm function was initiated. This case demonstrates how important knowledge of the function, set-up and alarm conditions of respiratory machines is. This should be an important component of training in anesthesiology as well as securely established algorithms for difficult ventilation to ensure safe anesthesia despite technical failures.
M3 - SCORING: Zeitschriftenaufsatz
VL - 58
SP - 1226
EP - 1230
JO - ANAESTHESIST
JF - ANAESTHESIST
SN - 0003-2417
IS - 12
M1 - 12
ER -
