Mini-epidemic of erroneous central venous pressure measurements resulting from the malproduction of a specific part of a pressure transducer system.
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.
Görlinger
Klaus
K
Klinik für Anästhesiologie und Intensivmedizin, Universität Duisburg-Essen, Universitätsklinikum Essen, Essen, Germany. klaus@goerlinger.net
Kehren
Clemens J
CJ
Peters
Jürgen
J
D001795:Blood Pressure Determination / Q000295:instrumentation*; D006348:Cardiac Surgical Procedures; D002496:Central Venous Pressure / Q000502:physiology*; D004196:Disease Outbreaks; D004868:Equipment Failure; D006801:Humans; D016343:Monitoring, Intraoperative / Q000295:instrumentation*; D014159:Transducers