Cause of Ventilator Failure is Unclear

APSF Newsletter, Spring 2005

We would like to report an incident of anesthesia machine failure with possible patient safety implications. After the induction and intubation of an 8-year-old female and during the sterile skin…

Clinician Recognizes Importance of Machine Checkout

APSF Newsletter, Winter 2004

I am an anesthesiologist in practice in Santa Barbara, CA. The issue I am concerned with involves both organization and anesthesia machines. We put into service 18 months ago 15…

Common Gas Outlet Concern Leads to Corrective Action

APSF Newsletter, Fall 2004

I had the pleasure of investigating the newest and latest versions of anesthesia machines at the 2003 ASA meeting. I was surprised to observe an auxiliary common gas outlet on…

O2 Blender Causes Concern

APSF Newsletter, Summer 2004

Is it fair to assume that a gas outlet fitting indexed to the oxygen diameter index safety system (DISS) should guarantee that 100% high pressure oxygen is indeed delivered at…

Misplaced Valve Poses Potential Hazard

APSF Newsletter, Spring 2004

Dear SIRS: The APSF is pleased to announce an important new technology initiative which will appear as a regular column in the APSF Newsletter. This feature is entitled “Dear SIRS”…

Page 14 of 14