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KMID : 0356920090570030358
Korean Journal of Anesthesiology
2009 Volume.57 No. 3 p.358 ~ p.360
A case of HME obstruction by distilled water from incidentally mounted heated wire circuit kit - A case report -
Jeong Chae-In

Park Jang-Su
Ahn Yeo-Hyun
Lee Sang-Il
Kim Ji-Yeon
Kim Kyung-Tea
Kim Jung-Won
Abstract
Heat-moisture exchanger (HME) is an inexpensive and effective device used to prevent respiratory complications that can be caused by endotracheal tube insertion during general anesthesia. But, HME can increase airway resistance and be occluded by the patient¡¯s secretions. Whether a HME could be occluded by clear fluids such as condensate in the airway circuit is not certain yet. In vitro, a case of HME occlusion by normal saline was reported. We report a case of HME obstruction by distilled water came from the heated wire circuit which was unintentionally connected to the HME.
KEYWORD
Distilled water, Heat and moisture exchanger, Heated wire circuit, Obstruction
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