DOI: 10.1213/xaa.0000000000002297 ISSN: 2575-3126
Misconnection of Oxygen Tubing to the “Smart Cuff Manager” Causing Cuff Explosion: A Preventable Equipment Error
Alexander Tzabazis, Christoph Niemeyer, Markus StuhrWe report a case of sudden airway bleeding and airway loss secondary to an accidental misconnection of oxygen tubing to a “Smart Cuff Manager” (TRACOE, TRACOE medical GmbH) instead of a “Humidotrach” (heat and moisture exchange (HME) filter; Humidotrach Pro Iso, Fahl Medizintechnik-Vertrieb GmbH).
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