Fatal connection: Death caused by direct connection of oxygen tubing into a tracheal tube connector

Surinder Singh, Robert G. Loeb

Research output: Contribution to journalArticle

5 Scopus citations


During cardiopulmonary resuscitation, oxygen extension tubing was mistakenly connected into the tracheal tube connector. As a result, the patient recovering from hypovolemic cardiac arrest died because of pulmonary barotrauma. Similar cases have been reported. We suggest that a worldwide equipment performance standard be developed to prevent future occurrences and describe an example of connectors that would prevent such misconnections.

Original languageEnglish (US)
Pages (from-to)1164-1165
Number of pages2
JournalAnesthesia and analgesia
Issue number4
StatePublished - Oct 1 2004


ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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