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- W2084328753 abstract "During an operating list, a patient anaesthetised with isoflurane in the anaesthetic room breathed through a circle absorber in theatre that had been disconnected from the common gas outlet. The previous patient had breathed oxygen via the same outlet during an awake spinal anaesthetic and the circle absorber circuit had not been reconnected. Vapour, nitrous oxide and oxygen monitors showed that a safe anaesthetic was given until the error was quickly noticed and rectified, because the circle had not been flushed with oxygen and was still charged with isoflurane, nitrous oxide and oxygen. With Ethical Committee approval, a volunteer breathed Entonox mixture for 5 min in the anaesthetic room, was wheeled into theatre and breathed from an Entonox-charged 2-litre circle absorber that had been left disconnected for 30 min. Every 30 s, readings of oxygen and nitrous oxide concentrations were taken using a Datex Engstrom AS73 monitor. Results showed a fall in inspired oxygen concentration from 50% to 25% after 3 min. Inspired nitrous oxide fell from 29% to 17% over the same time. To prevent a recurrence we now connect the machine end of the circle absorber to the patient end of the circle when oxygen is given via a Hudson mask so that anaesthetists remember to reconnect (Fig. 4)." @default.
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- W2084328753 date "2001-04-01" @default.
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- W2084328753 title "Rate of change in gas concentrations in a charged circle system with absorber" @default.
- W2084328753 doi "https://doi.org/10.1046/j.1365-2044.2001.01976-14.x" @default.
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