Inadvertent positive end-expiratory pressure caused by a malfunctioning ventilator relief valve.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 12873943.
- Also identified by DOI 10.1213/01.ANE.0000072546.38277.10.
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Abstract
During anesthesia, a nurse draped several gas hoses over the ventilator relief valve on the back of the anesthesia machine, causing a malfunction. Unintended positive end-expiratory pressure was administered to the patient. Causes of this mishap, anesthesia machine design, and nonanesthesiologist familiarity with anesthesia machine components and their function, are discussed.
Medical subject headings
- Anesthesia, General
- Positive-Pressure Respiration
- Respiration, Artificial