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Serious adverse events and deaths linked to poor ventilator use: A report of four closed claims
A Theissen1, V Piriou2, F Fuz3
1Department of anaesthesiology and intensive care unit, Princess Grace hospital, avenue Pasteur, 98000 Monaco.
Abstract:
Through this series of four closed claims, we highlight examples of accidents stemming from poor ventilator use. We then review the main issues in this regard as reported in the literature and by learned societies. This case series has led us to emphasise the need for safety procedures involving systematic checks prior to use, declaration and analysis of the risk, as well as feedback and teaching regarding ventilation systems.
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