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Adjustable Pressure Limit Valve Failure During Intraoperative Care: A Case Report
Ajay J D'Mello1,2, Vidya T Raman1,2, Joseph D Tobias1,2
1From the Department of Anesthesiology & Pain Medicine, Nationwide Children's Hospital, Columbus, Ohio.
A&A Practice
|June 18, 2019
Summary
A cracked adjustable pressure limiting (APL) valve in anesthesia machines can cause ineffective ventilation during manual breathing. This case highlights the importance of recognizing APL valve malfunctions for infant patient safety.
Area of Science:
- Anesthesiology
- Medical Device Safety
- Pediatric Critical Care
Background:
- Anesthesia machines incorporate safety features like the adjustable pressure limiting (APL) valve.
- The APL valve controls pressure during manual ventilation using an anesthesia bag.
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