Dräger Fabius Leak Test Questioned
APSF Newsletter, Winter 2009
We have discovered what we believe to be a flaw in the Dräger Fabius Tiro® anesthetic machines, which we use in our same day surgery operating rooms. We have observed…
Go With the Flow (of O2)
APSF Newsletter, Summer 2009
A free-standing ASC where I work has recently begun using the Datascope AS 3000 gas machines. I am concerned about the gas flow controls. I am concerned that when one…
Fluid Warmers Interfere With ECG
APSF Newsletter, Spring 2009
Our hospital has recently purchased new IV fluid warmers and installed them in our operating rooms. Although the device is very effective at warming fluid, we have found that it…
Isoflurane Damages Apollo Water Trap
APSF Newsletter, Winter 2008
Anesthesia personnel have come to rely heavily upon end-tidal carbon dioxide concentration to confirm correct endotracheal tube placement and adequate ventilation. We report a case of sudden loss of end-tidal…
Machine Failure Caused by Keyboard Damage
APSF Newsletter, Fall 2008
I am the head of cardiothoracic anesthesia at St. John’s Mercy Medical Center in St. Louis and have had a unique failure of one of our newer anesthesia machines that…
Reader Ponders Relative Risks of Retrograde Arterial Flow
APSF Newsletter, Summer 2008
Reader Ponders Relative Risks of Retrograde Arterial Flow Several staff members are concerned that our invasive arterial monitoring kit (Hospira TRANSPAC IV), if flushed rapidly, can produce retrograde flow. An…
