Thorp J M, Railton R
Anaesthesia. 1982 Jun;37(6):683-7. doi: 10.1111/j.1365-2044.1982.tb01283.x.
A patient received an hypoxic anaesthetic gas mixture and made an uneventful recovery. The fault was traced to an air-oxygen mixer valve in the Intensive Care Unit. An oxygen monitor in theatre would have detected the fault before the patient was anaesthetised.
一名患者接受了低氧麻醉气体混合物，术后恢复顺利。故障被追溯到重症监护病房的空气-氧气混合阀。手术室中的氧气监测仪本可在患者麻醉前检测到该故障。
