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We would like to draw the reader’s attention to a potentially dangerous occurrence with bag valve mask systems when repair and reassembly is carried out incorrectly. Bag valve masks are in common use in neonatal and paediatric resuscitations1,2 and incorporate a pressure relief valve to prevent excessive pressures being delivered.
In this case, checking of a Laerdal paediatric (500 ml) resuscitator (catalogue number 86005033) before use revealed that the …
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