Oxygen delivery failure due to improper installation of carbon dioxide absorbent canister: a case report

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.

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Bibliographic Details
Main Authors: Pai,Sher-Lu, Robards,Christopher B., Riutort,Kevin T., Torp,Klaus D.
Format: Digital revista
Language:English
Published: Sociedade Brasileira de Anestesiologia (SBA) 2021
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2352-22912021000400443
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