Oxygen flow via tubing from the oxygen wall connection into the reservoir bag of the spur ii was not possible because the connection point on the reservoir bag was bent, fused and internally tight.After identifying the problem, all sets were reviewed in the or and several reservoir bags with the same problem were identified and replaced.The patient condition was not affected.While one faulty device does not pose a risk of serious health deterioration as the spur ii will still be able to provide resuscitation with ambient air (21% oxygen) until a back up resuscitator has ben readied for use, the patient is at risk of hypoxia when the back up device also fails to deliver high oxygen concentration.
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