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Dr H inadvertently turned on the nitrous oxide valve rather than the oxygen valve. As it was an old machine, discarded by theatres, it did not have an anti-hypoxic mixture guard, and N received 100% nitrous oxide. It was not realised that she was not receiving oxygen for nearly 10 minutes, by which time she had suffered fatal brain damage. Initially a manslaughter charge was considered, but an inquest concluded that Dr H had made a genuine mistake. He underwent re-training. As a result of this error, the Chief Medical Offi cer ordered that all anaesthetic machines in current use should be fi tted with a hypoxic mixture alarm. Fatal mix-up doctor can work again. BBC News, 22 March 2001; http://news.bbc.co.uk/1/hi/health/1235745.stm (accessed 15 April 2007) Doctor sobs over hospital blunder. BBC News, 12 April 2002; http://news. bbc.co.uk/1/hi/england/1925267.stm (accessed 15 April 2007) A boy died during dental surgery at a dental practice. He had been given nitrous oxide instead of oxygen because the tubing was wrongly connected, and the anaesthetist failed to check the equipment. The child’s underlying health problems made resuscitation more diffi cult, but no one present had obtained his medical history. The judge recorded that ‘This offence was one of the most gross negligence.’ The anaesthetist was sentenced to 6 months’ imprisonment. Anaesthetist jailed over death. , 30 July 1999.
DOI link for Dr H inadvertently turned on the nitrous oxide valve rather than the oxygen valve. As it was an old machine, discarded by theatres, it did not have an anti-hypoxic mixture guard, and N received 100% nitrous oxide. It was not realised that she was not receiving oxygen for nearly 10 minutes, by which time she had suffered fatal brain damage. Initially a manslaughter charge was considered, but an inquest concluded that Dr H had made a genuine mistake. He underwent re-training. As a result of this error, the Chief Medical Offi cer ordered that all anaesthetic machines in current use should be fi tted with a hypoxic mixture alarm. Fatal mix-up doctor can work again. BBC News, 22 March 2001; http://news.bbc.co.uk/1/hi/health/1235745.stm (accessed 15 April 2007) Doctor sobs over hospital blunder. BBC News, 12 April 2002; http://news. bbc.co.uk/1/hi/england/1925267.stm (accessed 15 April 2007) A boy died during dental surgery at a dental practice. He had been given nitrous oxide instead of oxygen because the tubing was wrongly connected, and the anaesthetist failed to check the equipment. The child’s underlying health problems made resuscitation more diffi cult, but no one present had obtained his medical history. The judge recorded that ‘This offence was one of the most gross negligence.’ The anaesthetist was sentenced to 6 months’ imprisonment. Anaesthetist jailed over death. , 30 July 1999.
Dr H inadvertently turned on the nitrous oxide valve rather than the oxygen valve. As it was an old machine, discarded by theatres, it did not have an anti-hypoxic mixture guard, and N received 100% nitrous oxide. It was not realised that she was not receiving oxygen for nearly 10 minutes, by which time she had suffered fatal brain damage. Initially a manslaughter charge was considered, but an inquest concluded that Dr H had made a genuine mistake. He underwent re-training. As a result of this error, the Chief Medical Offi cer ordered that all anaesthetic machines in current use should be fi tted with a hypoxic mixture alarm. Fatal mix-up doctor can work again. BBC News, 22 March 2001; http://news.bbc.co.uk/1/hi/health/1235745.stm (accessed 15 April 2007) Doctor sobs over hospital blunder. BBC News, 12 April 2002; http://news. bbc.co.uk/1/hi/england/1925267.stm (accessed 15 April 2007) A boy died during dental surgery at a dental practice. He had been given nitrous oxide instead of oxygen because the tubing was wrongly connected, and the anaesthetist failed to check the equipment. The child’s underlying health problems made resuscitation more diffi cult, but no one present had obtained his medical history. The judge recorded that ‘This offence was one of the most gross negligence.’ The anaesthetist was sentenced to 6 months’ imprisonment. Anaesthetist jailed over death. , 30 July 1999.
ABSTRACT
Self-infl ating bag This apparatus consists of a bag that re-infl ates after squeezing. This is attached at one end to a one-way fl ow valve that can be connected to a face mask or other apparatus, while at the other end it should also have the facility for receiving supplementary oxygen. Once the airway is patent and the face mask is held on the face, this apparatus can be used to hand ventilate the patient. The effi ciency of the self-infl ating bag is highly dependent upon the skill and technique of the user.