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Revista Brasileira de Anestesiologia

Print version ISSN 0034-7094On-line version ISSN 1806-907X

Rev. Bras. Anestesiol. vol.58 no.4 Campinas July/Aug. 2008 






Mrs. Editor,

In response to the reply of HB Hospitalar Ind. e Com. Ltda. through its Administrative Management to the article "Intraoperative Pulmonary Barotrauma During Ophthalmologic Surgery. Case Report", published in Rev Bras Anestesiol, 2008;58(1):63-68, we would like to explain that:

The equipment used, still during its period of guarantee, was part of a set of 4 units bought on an emergency basis by the Rio de Janeiro County Health Department. According to the chief of the Service at the time, they were all assembled, as usually, by the manufacturer. They all followed the same configuration and the Service in question did not request any changes in the original configuration of the equipment. As we reckon, even if the buyer had requested changes that might trigger hazard, they should have been explained by the manufacturer, preventing the buyer of those changes.

After enough time to analyze the problem, we were not communicated, at any time, that measures were taken to prevent this from ever happening again. On the contrary, according to the manufacturer, what happened was due to the improper use of the equipment that underwent improvisations, which really did not happen. However, the manufacturer exchanged the smooth tubing, amenable to kinking, by another more adequate for this function. And, according to the manufacturer, measures were taken by the engineering department to prevent this from ever happening again, demonstrating a recognition of the risk. It was not our intention to disparage the company. The objective of the report was to alert our colleagues about the potential complications related with the technical problem indicated, calling the attention, didactically, for the importance of the observation of the minimal details by the anesthesiologist.


Affonso H. Zugliani, TSA
Rua Ipiranga, 32/801
22231-120 Rio de Janeiro, RJ, Brazil

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