Equipment Problems. Preventable Anesthetic Deaths: Is “PaF” the Magic Dragon?

Compliance with current anaesthetic equipment safety guidelines in the light of a cluster of avoidable anaesthetic deaths

“…Following the cluster of severe untoward incidents, Prien et al. recently published an ‘open mind article’, promoting the ‘PaF’ test and discussing future technical solutions in order to reduce the risk of breathing circuit assembly problems . Until we find technical solutions to this problem, the results of our audit highlight the need for improved awareness, training, communication and documentation of anaesthetic equipment checks.…”