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

Research output: Contribution to journalArticlepeer-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 languageEnglish (US)
Pages (from-to)443-446
Number of pages4
JournalRevista Brasileira de Anestesiologia
Volume71
Issue number4
DOIs
StatePublished - 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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