• A&A practice · Jul 2023

    Case Reports

    Problems With Magnetic Resonance Imaging-Conditional Anesthesia Machine During Routine Imaging: A Near-Miss Case Report.

    • George Sun and Kevin J Min.
    • From the Department of Anesthesiology, Thomas Jefferson University, Philadelphia, Pennsylvania.
    • A A Pract. 2023 Jul 1; 17 (7): e01692e01692.

    AbstractDelivering safe anesthesia care in the magnetic resonance imaging (MRI) scanner presents many unique challenges. We present a case report of how an MRI-conditional anesthesia machine malfunctioned after being pulled toward an MRI scanner during routine imaging, not previously reported in the literature. This near-miss event emphasizes the continued need for staff education and vigilance.Copyright © 2023 International Anesthesia Research Society.

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