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在空气/氧气和七氟醚麻醉期间流量计中突然出现水

Sudden Appearance of Water in Flowmeter During Air/Oxygen and Sevoflurane Anaesthesia.

作者信息

Kandemir Tünay, Muslu Selda, Kandemir Erbin

机构信息

Clinic of Anaesthesia, Dr. Abdurrahman Yurtaslan Oncology Training and Research Hospital, Ankara, Turkey.

出版信息

Turk J Anaesthesiol Reanim. 2015 Feb;43(1):65-7. doi: 10.5152/TJAR.2014.57070. Epub 2014 Sep 9.

DOI:10.5152/TJAR.2014.57070
PMID:27366469
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4917130/
Abstract

Endotracheal intubation was performed, and a water bubbling sound was heard from the anaesthesia device immediately after the release of gases to administer the O2-air-sevoflurane mixture. The flowmeter on the anaesthesia device was then found to be filled with water. The breakdown of the dryer in the medical air compressor system was determined as the source of the problem, since a greasy fluid mixture was released from the air-wall outlets in all rooms. Consequently, the anaesthesia team should keep in mind that problems as seen in the current case might emerge and should be alert.

摘要

进行了气管插管,在释放气体以输送氧气-空气-七氟醚混合气体后,立即从麻醉设备中听到水泡声。随后发现麻醉设备上的流量计充满了水。由于所有房间的空气壁出口都释放出油腻的液体混合物,确定医用空气压缩机系统中的干燥器故障是问题的根源。因此,麻醉团队应牢记当前病例中出现的问题可能会出现,并应保持警惕。

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本文引用的文献

1
The anaesthesia gas supply system.麻醉气体供应系统。
Indian J Anaesth. 2013 Sep;57(5):489-99. doi: 10.4103/0019-5049.120145.
2
The Thai Anesthesia Incident Monitoring Study (Thai AIMS) of anesthetic equipment failure/malfunction: an analysis of 1996 incident reports.泰国麻醉事件监测研究(泰国AIMS)之麻醉设备故障/失灵情况:对1996份事件报告的分析
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Contamination of piped medical gas supply with water.管道医用气体供应被水污染。
Eur J Anaesthesiol. 2000 Aug;17(8):512-4. doi: 10.1046/j.1365-2346.2000.00702.x.
5
[Accidental decrease in the air flow during air/oxygen sevoflurane anesthesia].[空气/氧气-七氟烷麻醉期间气流意外减少]
Masui. 2000 Jun;49(6):652-4.
6
An analysis of major errors and equipment failures in anesthesia management: considerations for prevention and detection.麻醉管理中的主要失误及设备故障分析:预防与检测的考量因素
Anesthesiology. 1984 Jan;60(1):34-42. doi: 10.1097/00000542-198401000-00008.