The Medicines and Healthcare products Regulatory Agency has issued a warning about IV extension sets with multiple ports and vented caps after a patient suffered a stroke when a cap was left in place.
The incident occurred when an IV extension set, which had a vented cap attached to its Y-port, was connected to a central line.
Manufacturers use vented caps to allow gas to penetrate and then exit the IV extension set during the sterilisation process.
The MHRA says vented caps must be removed before usage as if this does not take place air can enter the line and there’s risk of air embolism and death.
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