*This list includes both human error and equipment failures. Note that these somewhat arbitrary categories encompass only 39% of the total database, with the remainder representing a larger variety. | |
†See text for special nature of anesthesia machines involved. | |
Breathing circuit disconnection | 27 |
Inadvertent gas flow change† | 22 |
Syringe swap | 19 |
Gas supply problem | 15 |
Intravenous apparatus disconnection | 11 |
Laryngoscope malfunction | 11 |
Premature extubation | 10 |
Breathing circuit connection error† | 9 |
Hypovolemia | 9 |
Tracheal airway device position changes | 7 |