TY - JOUR
AU - Newton, N.
AB -  There are many connectors on a variety of devices used with a single patient. It is not surprising therefore that misconnections are made either inadvertently or due to confusion because of the large number of potential connections. During a routine anaesthetic the Luer lock sidestream capnograph sampling tube was inadvertently connected to an intravenous cannula. We noticed that blood had contaminated the sampling tube, which led us to find the misconnection and immediately rectify it. Fortunately, the side stream capnograph sampling tube aspirates gas and as a result no injury occurred to the patient, although blood from the patient would eventually have entered the sampling port of the capnograph. A much more serious event would have occurred if the gases leaving the capnograph and returning to the patient circuit had been inadvertently connected to an intravascular cannula leading to air entering directly into an artery or vein. The original purpose of the Luer fitting was to connect a hypodermic needle to a syringe. However, the connector has been so successful that it is now used in a wide range of medical devices, raising the possibility of accidental cross connection between devices [ 1 ]. Mistaken connection between a 
TI - Connection of capnography sampling tube to an intravenous cannula
JO - Anaesthesia
DO - 10.1111/j.1365-2044.2005.04311.x
DA - 2005-08-01
UR - https://www.deepdyve.com/lp/wiley/connection-of-capnography-sampling-tube-to-an-intravenous-cannula-ubB37ys30M
SP - 824
VL - 60
IS - 8
DP - DeepDyve
ER -