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因二氧化碳吸收罐安装不当导致供氧失败:1 例报告。

Oxygen delivery failure due to improper installation of carbon dioxide absorbent canister: a case report.

机构信息

Mayo Clinic, Department of Anesthesiology and Perioperative Medicine, Jacksonville, Florida, United States.

Mayo Clinic, Department of Anesthesiology and Perioperative Medicine, Jacksonville, Florida, United States.

出版信息

Braz J Anesthesiol. 2021 Jul-Aug;71(4):443-446. doi: 10.1016/j.bjane.2021.03.023. Epub 2021 Apr 27.

Abstract

The CLIC system in the Dräger Apollo anesthesia workstation allows a successful pre-use machine checkout without the presence of a carbon dioxide absorbent canister. It also allows the canister to be changed without interrupting controlled ventilation. However, this canister can be easily installed improperly with the CLIC adapter. We report a case in which a patient could not be ventilated by mask after the induction of general anesthesia, resulting in oxygen desaturation before successful ventilation was achieved with a bag valve mask. This case illustrates the importance of a leak test after components of the breathing circuit are changed.

摘要

德尔格 Apollo 麻醉工作站中的 CLIC 系统允许在没有二氧化碳吸收罐的情况下成功进行使用前机器检查,也允许在不中断控制通气的情况下更换吸收罐。然而,CLIC 适配器可能会导致吸收罐的安装不当。我们报告了一例患者在全身麻醉诱导后无法通过面罩通气的情况,在成功使用球囊-面罩通气之前出现了氧饱和度下降。该病例说明了在呼吸回路组件更换后进行泄漏测试的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc68/9373492/4c67243015af/gr1.jpg

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本文引用的文献

1
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.

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