McIntyre J W
Can Med Assoc J. 1979 Apr 21;120(8):931-4.
Equipment malfunction is a problem of particular importance during anesthesia and resuscitation. A review of published reports shows that the most common clinical events involve endotracheal tubes, the inspired oxygen concentration, the volume of inspired anesthetic vapours and gases, and pressures in the breathing or ventilation system. It is concluded that protection of a patient from equipment malfunction depends on: (a) appropriate application of standards set by a national standards association; (b) careful evaluation of equipment prior to purchase; (c) comprehension of equipment function by the user; (d) conscientious routine servicing of all systems concerned with anesthesia and resuscitation, and checking after service and before clinical use; (e) preanesthesia testing of equipment, including the use of an oxygen analyser in the breathing circuit; (f) early inclusion of equipment malfunction in the differential diagnosis of events during anesthesia; and (g) rapid action that cannot present a new hazard to the patient to correct the results of apparatus malfunction.
设备故障是麻醉和复苏过程中一个尤为重要的问题。对已发表报告的回顾表明，最常见的临床事件涉及气管内导管、吸入氧浓度、吸入麻醉蒸气和气体的量以及呼吸或通气系统中的压力。得出的结论是，保护患者免受设备故障影响取决于：(a) 适当应用国家标准协会制定的标准；(b) 在购买前仔细评估设备；(c) 用户对设备功能的理解；(d) 认真对所有与麻醉和复苏相关的系统进行常规维护，并在维护后和临床使用前进行检查；(e) 对设备进行麻醉前测试，包括在呼吸回路中使用氧分析仪；(f) 在麻醉期间的事件鉴别诊断中尽早考虑设备故障；以及(g) 采取不会给患者带来新危险的快速行动来纠正设备故障的后果。
