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Electrocution during anaesthesia.

J J Chambers, A K Saha

    Anaesthesia
    |February 1, 1979
    PubMed
    Summary
    This summary is machine-generated.

    A faulty operating table switch caused fatal electrocution in an obstetric patient during surgery. Despite resuscitation efforts, the patient died due to the electrical fault completed by an ECG monitor.

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    Area of Science:

    • Medical device safety
    • Surgical patient safety
    • Clinical engineering

    Background:

    • Electrocution is a rare but serious risk in operating rooms.
    • Patient safety during surgical procedures is paramount.
    • Medical equipment must adhere to strict electrical safety standards.

    Observation:

    • A young obstetric patient experienced cardiac arrest during a laparotomy.
    • The patient could not be resuscitated and subsequently died.
    • The event was linked to an operating table malfunction.

    Findings:

    • The cause of electrocution was identified as a faulty switch on the operating table.
    • The electrical circuit was completed through a direct earth type ECG monitor.
    • This highlights a critical failure in electrical safety protocols and equipment.

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    Implications:

    • Urgent review of operating table electrical safety is required.
    • Medical device compatibility and earthing protocols need re-evaluation.
    • This case underscores the importance of rigorous maintenance and pre-operative checks for all surgical equipment.