July 25, 2001
Health Professional: Medical Gas Misconnections -- Public Health
Audience: Hospital Administrators, Risk Managers, Respiratory Specialists
WASHINGTON, D.C - The FDA Center for Devices and
Radiological Health (CDRH) has issued a Public Health Advisory alerting healthcare
professionals to the potential for patient injury when cryogenic vessels containing
medical gas are misconnected to oxygen delivery systems. Misconnections cause patients who
should receive medical oxygen to receive another gas, such as nitrogen, instead. Over the
past four years, FDA has received reports of seven deaths and fifteen injuries associated
with medical gas misconnections that occurred in acute care and nursing home settings.
To view the advisory please click
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