Randall B, Corbett B
J Forensic Sci. 1982 Jan;27(1):225-30.
A patient was inadvertently overdosed with halothane during the nitrous oxide phase of anesthesia induction. During the subsequent 2 1/2-h resuscitation attempt, the oxygen via the anesthesia machine continued to be contaminated with 5% halothane. Brain death was pronounced when the patient may have been only very deeply anesthetized. The vaporizer had accidentally been left on the full ON position prior to the procedure. Poor design of vaporizer controls and operator neglect combined to allow protracted patient exposure to the toxic concentration of halothane. The medical examiner has a critical role in the adequate management of anesthesia/surgery related deaths.
一名患者在麻醉诱导的氧化亚氮阶段被意外过量给予氟烷。在随后长达2个半小时的复苏尝试过程中，通过麻醉机输送的氧气持续被5%的氟烷污染。当患者可能只是处于深度麻醉状态时，就被宣布脑死亡。在手术前，蒸发器意外地一直处于全开位置。蒸发器控制装置设计不佳以及操作人员疏忽共同导致患者长时间暴露于有毒浓度的氟烷中。法医在与麻醉/手术相关死亡的妥善处理中起着关键作用。
