Smith C E, Otworth J R, Kaluszyk P
Department of Anesthesiology, MetroHealth Medical Center, Cleveland, OH 44109.
J Clin Anesth. 1991 May-Jun;3(3):229-34. doi: 10.1016/0952-8180(91)90166-k.
A 25-year-old healthy patient developed bilateral tension pneumothorax during general endotracheal anesthesia due to a defective anesthesia breathing circuit filter. Prompt diagnosis and treatment of the pneumothorax was facilitated by the use of capnography and pulse oximetry. The manufacturing process of the breathing circuit and filter that made this accident possible has since been corrected by the manufacturer. Anesthesiologists must be alert to the possibility of such accidents with any breathing system using bacterial filters.
一名25岁的健康患者在全身气管内麻醉期间因麻醉呼吸回路过滤器故障发生双侧张力性气胸。二氧化碳监测仪和脉搏血氧饱和度测定仪的使用有助于气胸的及时诊断和治疗。导致此次事故的呼吸回路和过滤器的制造工艺已由制造商进行了修正。麻醉医生必须对任何使用细菌过滤器的呼吸设备发生此类事故的可能性保持警惕。
