Missing Part in Adjustable Pressure Limiting Valve in Bain’s Circuit: A Near Miss

Breathing circuits are the delivery systems which conduct anaesthetic gases from an anaesthetic machine to the patient. They are designed for either spontaneous respiration or intermittent positive pressure ventilation (IPPV). The Bain co-axial circuit, a modification of Mapleson D system is the mo...

Full description

Bibliographic Details
Main Author: Divya Devanathan
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2023-11-01
Series:Case Reports in Clinical Practice
Subjects:
Online Access:https://crcp.tums.ac.ir/index.php/crcp/article/view/777
_version_ 1827587824091660288
author Divya Devanathan
author_facet Divya Devanathan
author_sort Divya Devanathan
collection DOAJ
description Breathing circuits are the delivery systems which conduct anaesthetic gases from an anaesthetic machine to the patient. They are designed for either spontaneous respiration or intermittent positive pressure ventilation (IPPV). The Bain co-axial circuit, a modification of Mapleson D system is the most commonly used circuit in outside operating room procedures. It has several advantages over the circle system in that it is light-weight, convenient with adjustable length. Although most problems with the circuit involve disconnections, obstruction problems related to kinks in the gas delivery tube  or foreign body in the elbow have been reported. We would like to report an anaesthetic incident involving desaturation of patient posted for electro convulsive therapy (ECT) due to missing part of the Adjustable Pressure Limiting (APL) valve.
first_indexed 2024-03-09T00:24:30Z
format Article
id doaj.art-9f8c841b853240a19c2fd8e1b7f8cc12
institution Directory Open Access Journal
issn 2538-2683
2538-2691
language English
last_indexed 2024-03-09T00:24:30Z
publishDate 2023-11-01
publisher Tehran University of Medical Sciences
record_format Article
series Case Reports in Clinical Practice
spelling doaj.art-9f8c841b853240a19c2fd8e1b7f8cc122023-12-12T04:39:53ZengTehran University of Medical SciencesCase Reports in Clinical Practice2538-26832538-26912023-11-018210.18502/crcp.v8i2.13560Missing Part in Adjustable Pressure Limiting Valve in Bain’s Circuit: A Near MissDivya Devanathan0Department of Anesthesiology, Mahatma Gandhi Medical College, Sri Balaji Vidyapeeth University, Pondicherry. Breathing circuits are the delivery systems which conduct anaesthetic gases from an anaesthetic machine to the patient. They are designed for either spontaneous respiration or intermittent positive pressure ventilation (IPPV). The Bain co-axial circuit, a modification of Mapleson D system is the most commonly used circuit in outside operating room procedures. It has several advantages over the circle system in that it is light-weight, convenient with adjustable length. Although most problems with the circuit involve disconnections, obstruction problems related to kinks in the gas delivery tube  or foreign body in the elbow have been reported. We would like to report an anaesthetic incident involving desaturation of patient posted for electro convulsive therapy (ECT) due to missing part of the Adjustable Pressure Limiting (APL) valve. https://crcp.tums.ac.ir/index.php/crcp/article/view/777Bains circuitAdjustable pressure limiting valve malfunction
spellingShingle Divya Devanathan
Missing Part in Adjustable Pressure Limiting Valve in Bain’s Circuit: A Near Miss
Case Reports in Clinical Practice
Bains circuit
Adjustable pressure limiting valve malfunction
title Missing Part in Adjustable Pressure Limiting Valve in Bain’s Circuit: A Near Miss
title_full Missing Part in Adjustable Pressure Limiting Valve in Bain’s Circuit: A Near Miss
title_fullStr Missing Part in Adjustable Pressure Limiting Valve in Bain’s Circuit: A Near Miss
title_full_unstemmed Missing Part in Adjustable Pressure Limiting Valve in Bain’s Circuit: A Near Miss
title_short Missing Part in Adjustable Pressure Limiting Valve in Bain’s Circuit: A Near Miss
title_sort missing part in adjustable pressure limiting valve in bain s circuit a near miss
topic Bains circuit
Adjustable pressure limiting valve malfunction
url https://crcp.tums.ac.ir/index.php/crcp/article/view/777
work_keys_str_mv AT divyadevanathan missingpartinadjustablepressurelimitingvalveinbainscircuitanearmiss