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British Journal of Anaesthesia, 2002, Vol. 89, No. 2 335-336
© 2002 The Board of Management and Trustees of the British Journal of Anaesthesia

Correspondence

Sudden upper airway obstruction due to invisible rain-out in the heat and moisture exchange filter

W. Schummer1, C. Schummer1, J. Fuchs1, R. Voigt1, N. J. Morgan-Hughes2, D. Turnbull2 and G. H. Mills2

1 Jena, Germany 2 Sheffield, UK

The first 10% of the full text of this article appears below.

Editor—Morgan-Hughes and colleagues1 studied the airflow resistance of three heat and moisture exchanging (HME) filter designs under wet conditions. We report a case demonstrating that their recommendations for the safety of patients are very apposite.

A 58-yr-old male with carcinoma of the colon and metastases in the liver, and abdominal and thoracic chest wall (after unsuccessful laser therapy) was scheduled for a complex surgical procedure including right hemi-hepatectomy, and resection of the chest and abdominal wall, parts of the right hemidiaphragm, and the right lower lobe of the lung. After induction of anaesthesia, a 41 French gauge left-sided Robertshaw double-lumen tube (DLT) (Broncho-cath® endobronchial tube with CPAP System, left, 41 French, 95885, Mallinckrodt Laboratories, Ireland) was placed, and the correct position was verified by fibreoptic bronchoscopy directly, and after each repositioning.2 Anaesthesia was maintained with oxygen . . . [Full Text of this Article]


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D. Turnbull, P. C. Fisher, G. H. Mills, and N. J. Morgan-Hughes
Performance of breathing filters under wet conditions: a laboratory evaluation
Br. J. Anaesth., May 1, 2005; 94(5): 675 - 682.
[Abstract] [Full Text] [PDF]