An inherently dangerous fluid warmer design.

J Clin Monit Comput

Department of Anesthesiology, Boston Medical Center, 750 Albany Street 2R, Boston, MA, 02118, USA.

Published: June 2022

A Hotline® fluid warmer is a device commonly used by anesthesia providers in the operating room to warm and infuse blood products and large fluid volumes. The purpose of the fluid warmer is to counter heat loss, which occurs under anesthesia. Despite normal checks performed prior to its use, we discovered a breach in the fluid warming set attached to the Hotline® fluid warmer during blood administration. The breach contaminated the patient's sterile intravenous line. We describe the quality and safety processes we undertook in detail. We discuss the notion that monitoring alarms are an important safety feature of most modern devices utilized by anesthesia providers. We believe the Hotline® fluid warmer lacks a crucial monitor for detecting a breach within the fluid warming set, and therefore recommend the addition of an alarm to improve this device's safety.

Download full-text PDF

Source
http://dx.doi.org/10.1007/s10877-021-00786-xDOI Listing

Publication Analysis

Top Keywords

fluid warmer
20
hotline® fluid
12
fluid
8
anesthesia providers
8
breach fluid
8
fluid warming
8
warming set
8
warmer
5
inherently dangerous
4
dangerous fluid
4

Similar Publications

Climate change, with increasing temperatures, poses a health threat to patients on maintenance hemodialysis (MHD). Seasonal variations in body composition have been documented in this population. We hypothesized that climate warming could further exacerbate these effects.

View Article and Find Full Text PDF

While the tropical Pacific teleconnection to North America has been studied extensively, the impact of the Indian Ocean on North American climate has received less attention. Here, through observational analysis and hierarchy atmospheric model simulations with different complexity, we find that the Indian Ocean plays a crucial role in North American winter climate through a teleconnection termed the Indian Ocean - North America pattern. We show that in the warm Indian Ocean phase, this teleconnection contributes to anomalously cold winters along the west coast of the United States through advection with increased mountain snowfall, while simultaneously leading to warmer conditions over the Great Lakes region.

View Article and Find Full Text PDF
Article Synopsis
  • - Hemorrhage is the main cause of preventable death in trauma situations, leading to military and civilian advancements in medical practices, particularly through the use of tourniquets to manage extremity bleeding and save lives.
  • - While tourniquets have significantly decreased deaths from bleeding in military settings, noncompressible hemorrhage still poses a major risk, especially before patients receive definitive medical care.
  • - The study explores using a small, disposable pressure monitor during resuscitative endovascular balloon occlusion of the aorta (REBOA) to enhance blood pressure monitoring, facilitate better resuscitation practices, and reduce the need for blood products in extreme environments.
View Article and Find Full Text PDF
Article Synopsis
  • Perioperative hypothermia, a frequent but often overlooked issue during surgery, is influenced by factors like cold environments and anesthetic effects.
  • A study conducted at North Manchester General Hospital analyzed temperature data from 200 elective surgery patients, revealing varying hypothermia rates at different surgical phases.
  • The findings indicate a significant incidence of intraoperative hypothermia, emphasizing the need for proactive measures like patient pre-warming to prevent this complication.
View Article and Find Full Text PDF

Elevated Ambient Temperature Associated With Increased Cardiovascular Disease-Risk Among Patients on Hemodialysis.

Kidney Int Rep

October 2024

Center for Public Health and Environmental Assessment, Office of Research and Development, United States Environmental Protection Agency, Research Triangle Park, North Carolina, USA.

Article Synopsis
  • Increased ambient temperatures from climate change significantly affect individuals with kidney failure, particularly those on hemodialysis, heightening concerns about their resilience to heat.
  • A study analyzing dialysis patients from 2011 to 2016 found that high temperatures correlate with increased mortality risks and more frequent health care visits due to fluid and cardiovascular issues.
  • The findings indicate a cumulative effect of heat exposure over several days, with greater health impacts noted in specific U.S. climate regions.
View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!