Mitterlechner, Thomas, Paal, Peter, Schroeder, Daniel C., Wenzel, Volker and Herff, Holger (2018). Safer employment of nitrous oxide in anesthesia machines-a technical simulation. Med. Gas Res., 8 (2). S. 54 - 57. MUMBAI: WOLTERS KLUWER MEDKNOW PUBLICATIONS. ISSN 2045-9912
Full text not available from this repository.Abstract
Several incidents of anesthesia-attributed mortality in the past were caused by misconnection of gas pipelines resulting in ventilation with pure nitrous oxide. A simple safety feature may be to mark nitrous oxide with a lower pressure than oxygen and room air within the hospital's gas pipeline system. Then, any misconnection of gas pipelines could be detected by pressure differences with a manometer in the anesthesia machine. To check technical suitability, we tested maximum achievable nitrous oxide flows of an anesthesia machine at different pressures in the nitrous oxide supply line. Using decreased pressures for nitrous oxide compared to oxygen did not result in decreased nitrous oxide flows, as long as pressure in the nitrous oxide supply line was > 1500 hPa. A concept of different pressures for nitrous oxide and oxygen could be used to technically differentiate between those two gases, and to avoid potentially fatal misconnections.
| Item Type: | Journal Article | ||||||||||||||||||||||||
| Creators: |
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| URN: | urn:nbn:de:hbz:38-190403 | ||||||||||||||||||||||||
| DOI: | 10.4103/2045-9912.235127 | ||||||||||||||||||||||||
| Journal or Publication Title: | Med. Gas Res. | ||||||||||||||||||||||||
| Volume: | 8 | ||||||||||||||||||||||||
| Number: | 2 | ||||||||||||||||||||||||
| Page Range: | S. 54 - 57 | ||||||||||||||||||||||||
| Date: | 2018 | ||||||||||||||||||||||||
| Publisher: | WOLTERS KLUWER MEDKNOW PUBLICATIONS | ||||||||||||||||||||||||
| Place of Publication: | MUMBAI | ||||||||||||||||||||||||
| ISSN: | 2045-9912 | ||||||||||||||||||||||||
| Language: | English | ||||||||||||||||||||||||
| Faculty: | Unspecified | ||||||||||||||||||||||||
| Divisions: | Unspecified | ||||||||||||||||||||||||
| Subjects: | no entry | ||||||||||||||||||||||||
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| Refereed: | Yes | ||||||||||||||||||||||||
| URI: | http://kups.ub.uni-koeln.de/id/eprint/19040 |
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