An insidious failure of an oxygen analyzer.
作者信息
Harris Bryan, Weinger Matthew B
机构信息
Department of Anesthesiology, Vanderbilt University, Nashville, Tennessee, USA.
出版信息
Anesth Analg. 2006 May;102(5):1468-72. doi: 10.1213/01.ane.0000205814.47841.16.
Abstract
We present a case of oxygen analyzer malfunction diagnosed by the failure of the patient to adequately breathe oxygen as measured by end-tidal oxygen concentration. A warning icon, compliant with international standards, was not noticed at the time by those involved in the patient's care. The role of effective medical device user interface design is discussed.
摘要
相似文献
1
An insidious failure of an oxygen analyzer.
Anesth Analg. 2006 May;102(5):1468-72. doi: 10.1213/01.ane.0000205814.47841.16.
2
Misleading display of haemodynamic and respiratory parameters: frozen monitor.
Singapore Med J. 2009 Sep;50(9):921.
3
Oxygen failure alarms.
Anaesthesia. 2003 Apr;58(4):389-90. doi: 10.1046/j.1365-2044.2003.03095_9.x.
4
Clinical usefulness of the simultaneous display of pulse oximetry from two probes.
Paediatr Anaesth. 2008 Apr;18(4):345-6. doi: 10.1111/j.1460-9592.2008.02477.x.
5
[A case of malfunction of a pneumatic alarm device warning of a lack of oxygen].
Minerva Anestesiol. 1987 Sep;53(9):547-8.
6
[Intraoperative respiratory monitoring: combined monitoring of oxygen supply and carbon dioxide output using pulse oximetry and capnometry].
Anasthesiol Intensivmed Notfallmed Schmerzther. 1991 Dec;26(8):482-6. doi: 10.1055/s-2007-1000622.
7
Clinical evaluation of a new multiparameter neuromonitoring device: measurement of brain tissue oxygen, brain temperature, and intracranial pressure.
J Neurosurg Anesthesiol. 2009 Apr;21(2):155-60. doi: 10.1097/ANA.0b013e31818f2eac.
8
A cost-free, simple method for monitoring end tidal carbon dioxide through nasal cannulae.
Anesth Prog. 1990 Nov-Dec;37(6):301-3.
9
Oxygen failure alarms on modern anaesthetic machines.
Anaesthesia. 2002 Sep;57(9):931-2. doi: 10.1046/j.1365-2044.2002.27938.x.
10
Case scenario: Increased end-tidal carbon dioxide: a diagnostic dilemma.
Anesthesiology. 2010 Feb;112(2):440-6. doi: 10.1097/ALN.0b013e3181ca7c38.
引用本文的文献
1
Evaluating the Safety and Usability of an Over-the-Counter Medical Device for Adults With Mild to Moderate Hearing Loss: Formative and Summative Usability Testing.
JMIR Hum Factors. 2025 Jan 20;12:e65142. doi: 10.2196/65142.
Zotero 插件