Anesthesia Machine Failure

“Everything went black. Once the power came back on, the provider attempted ventilation and could not pressurize the ventilation bag.”

Case Context   Provider Narrative   Lessons Learned

Case Context

Patient: middle-aged female
Presenting diagnosis: bilateral breast cancer without lymph node involvement
Planned procedure: bilateral breast reconstruction with a latissimus myocutaneous flap and transverse rectus abdominis muscle flap (TRAM)
Past medical history: none
Anesthetic plan: general endotracheal anesthesia