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Problems With Magnetic Resonance Imaging-Conditional Anesthesia Machine During Routine Imaging: A Near-Miss Case
1From the Department of Anesthesiology, Thomas Jefferson University, Philadelphia, Pennsylvania.
Abstract:
Delivering safe anesthesia care in the magnetic resonance imaging (MRI) scanner presents many unique challenges. We present a case report of how an MRI-conditional anesthesia machine malfunctioned after being pulled toward an MRI scanner during routine imaging, not previously reported in the literature. This near-miss event emphasizes the continued need for staff education and vigilance.
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