A prospective, cohort evaluation of major and minor airway management complications during routine anaesthetic care at an academic medical centre

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:

22 Oct 2019 19:07

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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