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  • 标题:Awareness during General Anesthesia due to Vaporizer Malfunction - A case report -
  • 本地全文:下载
  • 作者:Seol, Tai Kyung ; Sim, Jiyeon ; Park, Hee Yeon
  • 期刊名称:Korean Journal of Anesthesiology
  • 印刷版ISSN:2005-6419
  • 出版年度:2007
  • 卷号:52
  • 期号:5
  • 页码:578-581
  • DOI:10.4097/kjae.2007.52.5.578
  • 语种:Korean
  • 出版社:The Korean Society of Anesthesiologists,
  • 摘要:

    We report a case of awakening during general anesthesia due to a vaporizer malfunction. The sevoflurane vaporizer had a hole through which approximately 20% of fresh gas escaped. The gas in the common gas outlet contained only 60% of the sevoflurane stated on the vaporizer setting. Moreover, the gas monitor module was out of order, and the heart rate and blood pressure were stable. As a result, we were unaware of the low sevoflurane concentration. The leakage through the hole could not be detected with the commonly used low-pressure system leak checking method. The implication of this case is that unexpected awakening can occur in patients with stable vital signs with an inhalation anesthesia. Therefore, more attention is needed to detect the level of patient awareness.

  • 关键词:awareness; preanesthesia machine check; sevoflurane; vaporizer malfunction
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