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Cardiac arrest caused by an incorrectly filled oxygen cylinder: A case report

  • B. Jawan*
  • , J. H. Lee
  • *Corresponding author for this work
  • Chang Gung Memorial Hospital

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

15 Scopus citations

Abstract

One hundred percent carbon dioxide was administered accidentally to a child aged 21 months during anaesthesia; this was caused by unauthorized filling of an oxygen cylinder with carbon dioxide. Cardiac arrest ensued, but was detected and treated promptly and no neurological deficit was detectable following recovery. The case demonstrates a typical preventable anaesthetic mishap and emphasizes the importance of monitoring oxygen supply and delivery.

Original languageEnglish
Pages (from-to)749-751
Number of pages3
JournalBritish Journal of Anaesthesia
Volume64
Issue number6
DOIs
StatePublished - 06 1990
Externally publishedYes

Keywords

  • Anaesthesia: paediatric
  • Complications: accidents, anoxia, acidosis, cardiac arrest
  • Equipment: cylinders

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