Department of Anaesthesia and Perioperative Medicine, Royal Brisbane and Women's Hospital, The University of Queensland, Brisbane, QLD, Australia.
Acta Anaesthesiol Scand. 2021 Sep;65(8):1147-1153. doi: 10.1111/aas.13840. Epub 2021 Jun 9.
Health service professionals do not have perfect vigilance. There will always be the possibility that a serious untoward incident can occur due to crossover injections of medication being administered via the wrong route. The universality of the Lüer connector made it very easy to connect several medical devices for different therapeutic uses. Although this was considered a bonus, it also showed the downside as a string of incidents, leading to permanent harm and even death, occurred, warranting actions to prevent the chance of misconnections and wrong-route injections. The International Organisation for Standardisation introduced specific ISO 80 369 connectors for use in different medical systems, with the ISO 80369-6 series of standards specifically designed to improve safety in regional anaesthesia. Human error can never be completely eliminated, but the risk of a patient inadvertently suffering from an inadvertent wrong-route injection can be reduced through the use of new 'fit and no-fit' technology. This article focuses on the universality of the Lüer connector and the introduction of the newly engineered non-Lüer connectors, for specific use in medical systems.
医疗服务专业人员并非十全十美。由于药物交叉注射到错误的途径，可能会发生严重的不良事件。Lüer 连接器的通用性使得很容易将几种用于不同治疗用途的医疗设备连接起来。虽然这被认为是一个优势，但也显示了其劣势，因为一系列的事件导致永久性伤害甚至死亡，因此需要采取措施防止误连接和错误途径注射的发生。国际标准化组织引入了特定的 ISO 80369 连接器，用于不同的医疗系统，ISO 80369-6 系列标准专门设计用于提高区域麻醉的安全性。人为错误永远无法完全消除，但通过使用新的“适合和不适合”技术，可以降低患者无意中遭受错误途径注射的风险。本文重点介绍了 Lüer 连接器的通用性和新设计的非 Lüer 连接器的引入，这些连接器专门用于医疗系统。
