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http://dx.doi.org/10.1016/S0889-8537(02)00006-8

has been cited by the following article:

• TITLE: Forearm Loss Caused by Automated Non-Invasive Blood Pressure Cuff Malfunction: A Hearsay Report

  AUTHORS: Steven M. Shulman, Yunseok Namn, Stanislav Lando, Patrick Discepola

  KEYWORDS: Monitor, Malfunction, Hearsay, Compartment Syndrome, Non-Invasive Blood Pressure

  JOURNAL NAME: Open Journal of Anesthesiology, Vol.5 No.11, November 9, 2015

  ABSTRACT: Failure of an automated blood pressure cuff to deflate when a patient is under general anesthesia can lead to catastrophic consequences if unnoticed for more than three hours [1]. We present this as a hearsay case in which an automated blood pressure cuff of the Spacelabs Ultraview Clinical Workstation monitor (model No. 90385) applied pressure for about five hours resulting in limb thrombosis. In order to analyze this catastrophe, simulation scenarios were tested to elucidate the possible errors and malfunctions that may have led to this injury. We present the analysis of the advantages and validity of the hearsay case report. We also include our proposed criteria that should be required when a hearsay case is considered for publication.