Accidental dual humidification in intensive care units: Repeated alerts and system changes are not enough
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DOI: 10.1016/j.jcrc.2018.06.024
Abstract: Purpose: The inadvertent, simultaneous use of heat and moisture exchangers (HMEs) and heated humidifiers (HHs) can result in waterlogging of the filter and sudden ventilation tube occlusion, with potentially fatal consequences. Following an NHS England… read more here.
Keywords: system; error; intensive care; dual humidification ... See more keywords