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Cases & Commentaries
- Web M&M
Tracy Minichiello, MD; March 2005
Despite a box on the admission form warning against using blood thinners and epidural anesthesia together, a patient admitted for elective surgery receives both, and becomes permanently paralyzed.
Journal Article > Commentary
Edsell ME, Erasmus PD. Anaesthesia. 2005;60:1152-1153.
The authors respond to reports of problems with common gas outlets and describe a forcing function put in place at their hospital to minimize such incidents. For a detailed discussion of a very similar case, in which a patient with respiratory distress received compressed air instead of high-flow oxygen, see the AHRQ WebM&M commentary by Dr. David Gaba.