@article {Lowery774, author = {William S Lowery}, title = {Ventilator-Disconnect and Death: A Case Study and a Safety Device}, volume = {55}, number = {6}, pages = {774--776}, year = {2010}, publisher = {Respiratory Care}, abstract = {Deaths and injuries related to accidental ventilator disconnection occur in complex ways. A death related to accidental ventilator disconnection is presented from a subacute ventilator facility, and corrective action is discussed. Single-limb ventilators are now equipped with a flow-bypass coupling that prevents patient-side occlusion during disconnect and therefore prevents low-pressure alarm malfunction. Physicians and respiratory therapists can consider this device to prevent partial or total occlusion of the ventilator tracheostomy adapter, thus allowing a low-pressure alarm in the event of a disconnect.}, issn = {0020-1324}, URL = {https://rc.rcjournal.com/content/55/6/774}, eprint = {https://rc.rcjournal.com/content/55/6/774.full.pdf}, journal = {Respiratory Care} }