Massive circuit leak due to a hidden cause: a fractured ventilator flow sensor

Michael Smyth¹, Dennis J Drapeau², Andrew D Milne^{2

3}

Affiliations

¹ Department of Anesthesia, Pain Management and Perioperative Medicine, Dalhousie University, Halifax, NS, Canada. m.smyth@dal.ca.
² Department of Anesthesia, Pain Management and Perioperative Medicine, Dalhousie University, Halifax, NS, Canada.
³ School of Biomedical Engineering, Dalhousie University, Halifax, NS, Canada.

Michael Smyth et al. Can J Anaesth. 2023 Dec.

. 2023 Dec;70(12):2016-2017.

doi: 10.1007/s12630-023-02611-2. Epub 2023 Oct 3.

Michael Smyth¹, Dennis J Drapeau², Andrew D Milne^{2

3}

¹ Department of Anesthesia, Pain Management and Perioperative Medicine, Dalhousie University, Halifax, NS, Canada. m.smyth@dal.ca.
² Department of Anesthesia, Pain Management and Perioperative Medicine, Dalhousie University, Halifax, NS, Canada.
³ School of Biomedical Engineering, Dalhousie University, Halifax, NS, Canada.

No abstract available

Keywords: circuit leak; equipment failure; flowmeter; mechanical ventilator; patient safety.

References

1. Dräger. Fabius GS premium: instructions for use; 2014. Available from URL: https://www.draeger.com/Products/Content/IfU_Fabius_GS_premium_SW_3n_903... (accessed September 2023).
1. Hari MS, Jennings M, Mitton M. Flow sensor fault causing ventilator malfunction. Anaesthesia 2005; 60: 1049–50. https://doi.org/10.1111/j.1365-2044.2005.04396.x - DOI - PubMed
1. Kojima Y, Yoshimine S, Sugimura M. Flow sensor fault during induction. Can J Anesth 2021; 68: 1440–1. https://doi.org/10.1007/s12630-021-01979-3 - DOI - PubMed