Mini-epidemic of erroneous central venous pressure measurements resulting from the malproduction of a specific part of a pressure transducer system.

Görlinger, Klaus; Kehren, Clemens J; Peters, Jürgen · Anesthesiology · 2009

case_series · Level IV

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Abstract

Electromanometric blood pressure measurements are routine in critically ill patients, and many interventions are based on correct measurements. We report a mini-epidemic of erroneous central venous pressure measurements due to faulty pressure transducer manufacturing resulting in wrong therapeutic decisions.

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