Accidental cross-connexion of oxygen and nitrous oxide in an anaesthetic machine.

Abstract

Oxygen and nitrous oxide pipes were cross-connected during the servicing of an anaesthetic machine. This resulted in the delivery of 100% nitrous oxide instead of 100% oxygen at the end of the operation. The patient fully recovered and was discharged on the 13th day.

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@article{Bonsu1983AccidentalCO, title={Accidental cross-connexion of oxygen and nitrous oxide in an anaesthetic machine.}, author={Alexander K. Bonsu and Amanda L. Stead}, journal={Anaesthesia}, year={1983}, volume={38 8}, pages={767-9} }