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呼吸回路泄漏：CO2 吸收器和人为错误。

Leak in the breathing circuit: CO2 absorber and human error.

机构信息

Department of Anaesthesiology, Kasturba Medical College, Manipal, 576104, India.

出版信息

J Clin Monit Comput. 2010 Apr;24(2):143-4. doi: 10.1007/s10877-010-9223-7. Epub 2010 Feb 13.

DOI:10.1007/s10877-010-9223-7
PMID:20155306
Abstract

A couple of reports in literature have mentioned CO2 absorbers to be the cause for breathing circuit leak during anesthesia. Defective canister, failure to close the absorber chamber and overfilling of the chamber with sodalime were the problems in these reports. Among these, the last two are reports of human error resulting in problems. We report a case where despite taking precautions in this regard, we experienced a significant leak in the system due to a problem with the CO2 absorber, secondary to human error.

摘要

有几份文献报道指出，二氧化碳吸收剂是导致麻醉期间呼吸回路泄漏的原因。在这些报告中，存在的问题包括：有缺陷的罐、吸收腔未能关闭以及苏打石灰填充过多。其中，后两个问题是人为错误导致的。我们报告了一个案例，尽管在这方面采取了预防措施，但由于人为错误导致二氧化碳吸收剂出现问题，从而导致系统出现了严重泄漏。

相似文献

1
Leak in the breathing circuit: CO2 absorber and human error.呼吸回路泄漏：CO2 吸收器和人为错误。
J Clin Monit Comput. 2010 Apr;24(2):143-4. doi: 10.1007/s10877-010-9223-7. Epub 2010 Feb 13.
2
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本文引用的文献

1
Preinduction check-up of the anesthesia machine.
Anesth Analg. 2006 May;102(5):1588-9. doi: 10.1213/01.ANE.0000215201.76420.57.
2
To do or not to do a preinduction check-up of the anesthesia machine.是否进行麻醉机诱导前检查。
Anesth Analg. 2005 Sep;101(3):774-776. doi: 10.1213/01.ANE.0000175210.13435.82.
3
Defective carbon dioxide absorber as a cause for a leak in a breathing circuit.
Anesthesiology. 1996 Feb;84(2):475-6. doi: 10.1097/00000542-199602000-00035.
J Clin Monit Comput. 2018 Jun;32(3):587-588. doi: 10.1007/s10877-017-0037-8. Epub 2017 Jun 16.
4
Anaesthesia machine: checklist, hazards, scavenging.麻醉机：检查表、风险、废气清除
Indian J Anaesth. 2013 Sep;57(5):533-40. doi: 10.4103/0019-5049.120151.
5
[Cleft in carbon dioxide absorber. Intraoperative problems with ventilation due to a leak in the breathing circuit].[二氧化碳吸收器出现裂缝。因呼吸回路泄漏导致术中通气问题]
Anaesthesist. 2010 Jul;59(7):652-4. doi: 10.1007/s00101-010-1751-5.