Bengtsson M, Johnson A
Department of Anaesthesiology, University Hospital, Linköping, Sweden.
Acta Anaesthesiol Scand. 1989 Aug;33(6):522-3. doi: 10.1111/j.1399-6576.1989.tb02958.x.
Two cases of ventilator tubing mishaps, resulting from defective heat and moisture exchangers, are described. The report emphasises the need for preoperative inspection of the anaesthetic machine and associated equipment as well as the importance of a disconnect alarm device.
本文描述了两起因热湿交换器故障导致的呼吸机管路事故。该报告强调了术前对麻醉机及相关设备进行检查的必要性，以及断开报警装置的重要性。
