Anaesthetic breathing circuit obstruction due to blockage of tracheal tube connector by a foreign body - Two cases

Two cases are presented which illustrate the disastrous consequences possible when an anaesthetic breathing circuit is obstructed by a foreign body. Despite reports of previous similar cases, work practices and equipment manufacture or design continue to allow for such events to occur The importance of both pre-anaesthetic testing of the entire circuit including attachments such as the tracheal tube connector and filters, and the removal of these parts should obstruction occur; is emphasised. Use of "clear" transparent breathing circuit components and opaque or brightly coloured packaging and caps which could potentially cause obstruction should decrease the incidence and facilitate the diagnosis of this problem.