{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T06:34:39Z","timestamp":1780468479671,"version":"3.54.1"},"reference-count":24,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2013,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Background:<\/jats:title>\n            <jats:p>Improvements in anesthesia gas delivery equipment and provider training may increase patient safety. The authors analyzed patient injuries related to gas delivery equipment claims from the American Society of Anesthesiologists Closed Claims Project database over the decades from 1970s to the 2000s.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods:<\/jats:title>\n            <jats:p>After the Institutional Review Board approval, the authors reviewed the Closed Claims Project database of 9,806 total claims. Inclusion criteria were general anesthesia for surgical or obstetric anesthesia care (n = 6,022). Anesthesia gas delivery equipment was defined as any device used to convey gas to or from (but not involving) the airway management device. Claims related to anesthesia gas delivery equipment were compared between time periods by chi-square test, Fisher exact test, and Mann\u2013Whitney U test.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results:<\/jats:title>\n            <jats:p>Anesthesia gas delivery claims decreased over the decades (<jats:italic toggle=\"yes\">P<\/jats:italic> &lt; 0.001) to 1% of claims in the 2000s. Outcomes in claims from 1990 to 2011 (n = 40) were less severe, with a greater proportion of awareness (n = 9, 23%; <jats:italic toggle=\"yes\">P<\/jats:italic> = 0.003) and pneumothorax (n = 7, 18%; <jats:italic toggle=\"yes\">P<\/jats:italic> = 0.047). Severe injuries (death\/permanent brain damage) occurred in supplemental oxygen supply events outside the operating room, breathing circuit events, or ventilator mishaps. The majority (85%) of claims involved provider error with (n = 7) or without (n = 27) equipment failure. Thirty-five percent of claims were judged as preventable by preanesthesia machine check.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions:<\/jats:title>\n            <jats:p>Gas delivery equipment claims in the Closed Claims Project database decreased in 1990\u20132011 compared with earlier decades. Provider error contributed to severe injury, especially with inadequate alarms, improvised oxygen delivery systems, and misdiagnosis or treatment of breathing circuit events.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/aln.0b013e3182a10b5e","type":"journal-article","created":{"date-parts":[[2013,7,4]],"date-time":"2013-07-04T01:15:21Z","timestamp":1372900521000},"page":"788-795","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":48,"title":["Patient Injuries from Anesthesia Gas Delivery Equipment"],"prefix":"10.1097","volume":"119","author":[{"given":"Sonya P.","family":"Mehta","sequence":"first","affiliation":[{"name":"Fellow"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James B.","family":"Eisenkraft","sequence":"additional","affiliation":[{"name":"Professor, Department of Anesthesiology, Icahn School of Medicine at Mount Sinai, New York, New York."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen L.","family":"Posner","sequence":"additional","affiliation":[{"name":"Research Professor, Department of Anesthesiology and Pain Medicine, University of Washington, Seattle, Washington."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen B.","family":"Domino","sequence":"additional","affiliation":[{"name":"Professor, Departments of Anesthesiology and Pain Medicine, and Neurological Surgery (Adjunct), University of Washington."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-20250219","doi-asserted-by":"crossref","first-page":"825","DOI":"10.1093\/bja\/aef276","article-title":"Equipment problems during anaesthesia\u2014Are they a quality problem?","volume":"89","year":"2002","journal-title":"Br J Anaesth"},{"key":"R2-20250219","doi-asserted-by":"crossref","first-page":"283","DOI":"10.1023\/A:1009916822005","article-title":"A cross-validated multifactorial index of perioperative risks in adults undergoing anaesthesia for non-cardiac surgery. 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