An insidious failure of an oxygen analyzer.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 16632828.
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Abstract
We present a case of oxygen analyzer malfunction diagnosed by the failure of the patient to adequately breathe oxygen as measured by end-tidal oxygen concentration. A warning icon, compliant with international standards, was not noticed at the time by those involved in the patient's care. The role of effective medical device user interface design is discussed.
Medical subject headings
- Equipment Failure
- Monitoring, Intraoperative