Huitink, J M; Lie, P P; Heideman, I; Jansma, E P; Greif, Robert; van Schagen, N; Schauer, A (2017). A prospective, cohort evaluation of major and minor airway management complications during routine anaesthetic care at an academic medical centre. Anaesthesia, 72(1), pp. 42-48. Wiley-Blackwell 10.1111/anae.13640
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The aim of this study was to develop an audit tool to identify prospectively all peri-operative adverse events during airway management in a cost-effective and reproducible way. All patients at VU University Medical Center who required general anaesthesia for elective and emergency surgical procedures were included during a period of 8 weeks. Daily questionnaires and interviews were taken from anaesthesia trainees and anaesthetic department staff members. A total of 2803 patients underwent general anaesthesia, 1384 men and 1419 women, including 2232 elective patients and 571 emergency procedures, 697 paediatric and 2106 adult surgical procedures. A total of 168 airway-related events were reported. The incidence of severe airway management-related events was 24/2803 (0.86%). There were 12 (0.42%) unanticipated ICU admissions, two patients (0.07%) required a surgical airway. There was one (0.04%) death, one cannot intubate cannot oxygenate (0.04%), one aspiration (0.04%) and eight (0.29%) severe desaturations < Sp O2 50%. We suggest that our method to determine and investigate airway management-related adverse events could be adopted by other hospitals.
Item Type: |
Journal Article (Original Article) |
|---|---|
Division/Institute: |
04 Faculty of Medicine > Department of Intensive Care, Emergency Medicine and Anaesthesiology (DINA) > Clinic and Policlinic for Anaesthesiology and Pain Therapy |
UniBE Contributor: |
Greif, Robert |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
0003-2409 |
Publisher: |
Wiley-Blackwell |
Language: |
English |
Submitter: |
Jeannie Wurz |
Date Deposited: |
21 Nov 2016 17:03 |
Last Modified: |
05 Dec 2022 14:59 |
Publisher DOI: |
10.1111/anae.13640 |
PubMed ID: |
27665740 |
Uncontrolled Keywords: |
airway management; brain damage; complications; emergency surgical airway; general anaesthesia; serious adverse events |
BORIS DOI: |
10.7892/boris.89594 |
URI: |
https://boris.unibe.ch/id/eprint/89594 |
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