Abstract
Modern technologic advances in medicine have allowed commonly used machines to perform safely with very low risk and a high degree of success. To detect or prevent potential malfunctions, professionals routinely perform pre-use checks for equipment such as anesthesia machines and cardiopulmonary bypass (CPB) machines. These machine checklists are not only critical for a safe operation but also have large impacts on outcomes. For example, when malfunctions are encountered that could have potential negative ramifications or adverse outcomes, multi-approach strategies should be used to identify rectifiable causes and find solutions that are practical. This information can be used to promulgate safe practice guidelines. This case report identifies a machine-based contributing factor to precipitous hypoxia on initiation of bypass in one of our patients. After a detailed approach to identify preventable root causes, we made simple additions to our pre-bypass checklist and recom mend these changes to other institutions.
Original language | English (US) |
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Pages (from-to) | 183-186 |
Number of pages | 4 |
Journal | Journal of Extra-Corporeal Technology |
Volume | 41 |
Issue number | 3 |
State | Published - Sep 1 2009 |
Keywords
- Anesthesia
- Bypass
- Cardiopulmonary
- Complications
- Equipment
- Inhalation
- Intraoperative
- Safety
- Standards
ASJC Scopus subject areas
- Medicine (miscellaneous)
- Health Professions (miscellaneous)
- Cardiology and Cardiovascular Medicine