Oxygen delivery failure due to improper installation of carbon dioxide absorbent canister: a case report

Sher Lu Pai; Christopher B. Robards; Kevin T. Riutort; Klaus D. Torp

doi:10.1016/j.bjane.2021.03.023

Oxygen delivery failure due to improper installation of carbon dioxide absorbent canister: a case report

Sher Lu Pai, Christopher B. Robards, Kevin T. Riutort, Klaus D. Torp

Anesthesiology

Research output: Contribution to journal › Article › peer-review

Abstract

The CLIC system in the Dräger Apollo anesthesia workstation allows a successful pre-use machine checkout without the presence of a carbon dioxide absorbent canister. It also allows the canister to be changed without interrupting controlled ventilation. However, this canister can be easily installed improperly with the CLIC adapter. We report a case in which a patient could not be ventilated by mask after the induction of general anesthesia, resulting in oxygen desaturation before successful ventilation was achieved with a bag valve mask. This case illustrates the importance of a leak test after components of the breathing circuit are changed.

Original language	English (US)
Pages (from-to)	443-446
Number of pages	4
Journal	Brazilian Journal of Anesthesiology (English Edition)
Volume	71
Issue number	4
DOIs	https://doi.org/10.1016/j.bjane.2021.03.023
State	Published - Jul 1 2021

Keywords

Anesthesiology
Carbon dioxide
Positive pressure respiration
Soda lime
Ventilators, mechanical

ASJC Scopus subject areas

Anesthesiology and Pain Medicine

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10.1016/j.bjane.2021.03.023

Cite this

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abstract = "The CLIC system in the Dr{\"a}ger Apollo anesthesia workstation allows a successful pre-use machine checkout without the presence of a carbon dioxide absorbent canister. It also allows the canister to be changed without interrupting controlled ventilation. However, this canister can be easily installed improperly with the CLIC adapter. We report a case in which a patient could not be ventilated by mask after the induction of general anesthesia, resulting in oxygen desaturation before successful ventilation was achieved with a bag valve mask. This case illustrates the importance of a leak test after components of the breathing circuit are changed.",

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N2 - The CLIC system in the Dräger Apollo anesthesia workstation allows a successful pre-use machine checkout without the presence of a carbon dioxide absorbent canister. It also allows the canister to be changed without interrupting controlled ventilation. However, this canister can be easily installed improperly with the CLIC adapter. We report a case in which a patient could not be ventilated by mask after the induction of general anesthesia, resulting in oxygen desaturation before successful ventilation was achieved with a bag valve mask. This case illustrates the importance of a leak test after components of the breathing circuit are changed.

AB - The CLIC system in the Dräger Apollo anesthesia workstation allows a successful pre-use machine checkout without the presence of a carbon dioxide absorbent canister. It also allows the canister to be changed without interrupting controlled ventilation. However, this canister can be easily installed improperly with the CLIC adapter. We report a case in which a patient could not be ventilated by mask after the induction of general anesthesia, resulting in oxygen desaturation before successful ventilation was achieved with a bag valve mask. This case illustrates the importance of a leak test after components of the breathing circuit are changed.

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KW - Positive pressure respiration

KW - Soda lime

KW - Ventilators, mechanical

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Oxygen delivery failure due to improper installation of carbon dioxide absorbent canister: a case report

Abstract

Keywords

ASJC Scopus subject areas

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