The APSF Newsletter is the official publication of the Anesthesia Patient Safety Foundation (APSF), dedicated to advancing perioperative patient safety and anesthesia safety worldwide. Articles are published online on a rolling basis, with new content added approximately every 1–3 weeks. Previously published issues are available in the Newsletter Archives.
Foreign Correspondence: Another “Wrong Gas” Incident in Hong Kong
March 10, 1991
Case 1: On 2lst July, 1990 (a Saturday afternoon), a patient at Caritas Hospital, Hong Kong, underwent emergency Caesarean section. The operation took place in an operating room which is...