Mini-epidemic of erroneous central venous pressure measurements resulting from the malproduction of a specific part of a pressure transducer system

Klaus Görlinger; Clemens J Kehren; Jürgen Peters

doi:10.1097/ALN.0b013e3181a5ce3e

Mini-epidemic of erroneous central venous pressure measurements resulting from the malproduction of a specific part of a pressure transducer system

Anesthesiology. 2009 Jun;110(6):1417-8; discussion 1418-9. doi: 10.1097/ALN.0b013e3181a5ce3e.

Authors

Klaus Görlinger¹, Clemens J Kehren, Jürgen Peters

Affiliation

¹ Klinik für Anästhesiologie und Intensivmedizin, Universität Duisburg-Essen, Universitätsklinikum Essen, Essen, Germany. [email protected]

PMID: 19417597
DOI: 10.1097/ALN.0b013e3181a5ce3e

Abstract

Electromanometric blood pressure measurements are routine in critically ill patients, and many interventions are based on correct measurements. We report a mini-epidemic of erroneous central venous pressure measurements due to faulty pressure transducer manufacturing resulting in wrong therapeutic decisions.

Publication types

Case Reports

MeSH terms

Blood Pressure Determination / instrumentation*
Cardiac Surgical Procedures
Central Venous Pressure / physiology*
Disease Outbreaks
Equipment Failure
Humans
Monitoring, Intraoperative / instrumentation*
Transducers