Hypoxia due to air in the oxygen pipeline. A case for oxygen monitoring in theatre.
A patient received an hypoxic anaesthetic gas mixture and made an uneventful recovery. The fault was traced to an air-oxygen mixer valve in the Intensive Care Unit. An oxygen monitor in theatre would have detected the fault before the patient was anaesthetised.
D000328:Adult; D000769:Anesthesia, Inhalation / Q000009:adverse effects* / Q000295:instrumentation; D004868:Equipment Failure; D005260:Female; D006801:Humans; D000860:Hypoxia / Q000209:etiology*; D007431:Intraoperative Complications / Q000209:etiology; D010100:Oxygen / Q000008:administration & dosage
D010100:Oxygen