Document Detail

Ventilator-disconnect and death: a case study and a safety device.
MedLine Citation:
PMID:  20507663     Owner:  NLM     Status:  MEDLINE    
Deaths and injuries related to accidental ventilator disconnection occur in complex ways. A death related to accidental ventilator disconnection is presented from a subacute ventilator facility, and corrective action is discussed. Single-limb ventilators are now equipped with a flow-bypass coupling that prevents patient-side occlusion during disconnect and therefore prevents low-pressure alarm malfunction. Physicians and respiratory therapists can consider this device to prevent partial or total occlusion of the ventilator tracheostomy adapter, thus allowing a low-pressure alarm in the event of a disconnect.
William S Lowery
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Respiratory care     Volume:  55     ISSN:  0020-1324     ISO Abbreviation:  Respir Care     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-05-28     Completed Date:  2010-09-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7510357     Medline TA:  Respir Care     Country:  United States    
Other Details:
Languages:  eng     Pagination:  774-6     Citation Subset:  IM    
Pulmonary/Subacute Service, Alameda Hospital, 2070 Clinton Avenue, Alameda, CA 94501, USA.
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MeSH Terms
Clinical Alarms*
Equipment Design*
Equipment Failure*
Fatal Outcome
Pulmonary Disease, Chronic Obstructive / therapy
Respiration, Artificial / instrumentation
Ventilators, Mechanical / standards*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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