Friday 21 August 2020
NHSI have been made aware of a small number of incidents of difficulties disconnecting ventilators from oxygen cylinders.
Oxygen cylinder manufacturers and the MHRA are investigating the underlying cause of the issue.
Please be vigilant and report any issues via the Yellow Card scheme, being mindful to include ventilator make and model, cylinder make, size and release mechanism, as well as hose supplier in your report.
This is an especially important safety issue during inter and intra hospital transfers if the cylinder becomes empty. You should also ensure that you have access to appropriate backup devices.