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Screening Assay for Oxidative Stress in a Feline Astrocyte Cell Line, G355-5
Published on: July 13, 2011
A feline anaesthetic death associated with equipment incompatibility
1Jurox Pty Ltd, 85 Gardiner Street, Rutherford, New South Wales, 2320, Australia.
Background:
A juvenile cat was anaesthetised for ovariohysterectomy. After intubation, the endotracheal tube was connected to an end-tidal CO2 (ETCO2) in-line adapter and then to a non-rebreathing anaesthetic system. Immediately on connection to the non-rebreathing system, the patient developed abdominal distension. The endotracheal tube was removed and found to be supplying a continuous flow of oxygen while connected to the ETCO2 monitor adapter and rebreathing system. The adapter was removed from the rebreathing line and the endotracheal tube re-inserted. Despite resuscitation attempts, the cat died.
Results:
Necropsy revealed barotrauma to the lungs and separation of the diaphragm from the dorsal body wall, with retroperitoneal gas accumulation. Close inspection of the gas delivery system revealed the creation of a plastic-to-plastic seal between the internal fresh gas pipe of the non-rebreathing system and the ETCO2 adapter, preventing overflow of excess gas.
Conclusion:
Careful assessment of equipment compatibility before every anaesthetic event is essential.
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