Mechanical obstruction in the anaesthesia delivery-system mimicking severe bronchospasm

Anaesthesia. 1997 Oct;52(10):992-4. doi: 10.1111/j.1365-2044.1997.217-az0351.x.

Abstract

We present a case where mechanical obstruction in the anaesthesia delivery system caused by plastic wrapping from a filter was misinterpreted as severe bronchospasm. The patient suffered severe hypoxia before the problem was solved by using a free-standing self-expanding ventilation bag. This near-fatal incident emphasises the importance of thorough equipment checking routines, rapid troubleshooting and how equipment failure may be misinterpreted as a medical complication. It also shows how transparent container material can become a medical hazard.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Anesthesia, General / instrumentation*
  • Anesthesia, Obstetrical / instrumentation*
  • Bronchial Spasm / diagnosis*
  • Diagnosis, Differential
  • Equipment Failure
  • Female
  • Filtration / instrumentation
  • Humans
  • Hypoxia / etiology*
  • Intraoperative Complications*