Sudden Appearance of Water in Flowmeter During Air/Oxygen and Sevoflurane Anaesthesia


KANDEMİR T. , MUSLU S., KANDEMİR E.

Turkish Journal of Anesthesia and Reanimation, vol.43, 2015 (Journal Indexed in ESCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 43
  • Publication Date: 2015
  • Doi Number: 10.5152/tjar.2014.57070
  • Title of Journal : Turkish Journal of Anesthesia and Reanimation
  • Keywords: Medical air, flowmeter, anaesthesia device, equipment failure, patient safety

Abstract

Endotracheal intubation was performed, and a water bubbling sound was heard from the anaesthesia device immediately after the release of gases to administer the O-2-air-sevoflurane mixture. The flowmeter on the anaesthesia device was then found to be filled with water. The breakdown of the dryer in the medical air compressor system was determined as the source of the problem, since a greasy fluid mixture was released from the air-wall outlets in all rooms. Consequently, the anaesthesia team should keep in mind that problems as seen in the current case might emerge and should be alert.