Difficult and failed intubation in the first 4000 incidents reported on webAIRS

Anaesthesia and Intensive Care
Yasmin EndlichM Culwick

Abstract

A review of the first 4000 reports to the webAIRS anaesthesia incident reporting database was performed to analyse cases reported as difficult or failed intubation. Patient, task, caregiver and system factors were evaluated. Among the 4000 reports, there were 170 incidents of difficult or failed intubation. Difficult or failed intubation incidents were most common in the 40-59 years age group. More than half of cases were not predicted. A total of 40% involved patients with a body mass index >30 kg/m2 and 41% involved emergency cases. A third of the reports described multiple intubation attempts. Of the reports, 18% mentioned equipment problems including endotracheal tube cuff rupture, laryngoscope light failure, dysfunctional capnography and delays with availability of additional equipment to assist with intubation. Immediate outcomes included 40 cases of oxygen desaturation below 85%; of these cases, four required cardiopulmonary resuscitation. The majority of the incidents resulted in no harm or minor harm (45%). However, 12% suffered moderate harm, 3.5% severe harm and there were three deaths (although only one related to the airway incident). Despite advances and significant developments in airway management strategies, di...Continue Reading

References

Jan 1, 1992·British Journal of Anaesthesia·M Cobley, R S Vaughan
Apr 1, 1990·Anesthesiology·J S GravensteinF K Orkin
Aug 1, 1988·British Journal of Anaesthesia·M E WilsonP Lesser
May 1, 1994·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·D K Rose, M M Cohen
Oct 1, 1993·Anaesthesia and Intensive Care·J A WilliamsonA V Dreosti
Jan 1, 1996·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·D K Rose, M M Cohen
May 2, 2000·Anaesthesia and Intensive Care·P H GanderJ Weller
Nov 2, 2002·Anesthesiology·Steven K HowardArnold J Berry
Nov 5, 2002·Anaesthesia and Intensive Care·G Caponas
Oct 26, 2006·Anaesthesia and Intensive Care·A F Merry, G R Warman
Oct 27, 2006·Anesthesiology·Sachin KheterpalThomas A Ludwig
Mar 19, 2009·Anesthesiology·Sachin KheterpalKevin K Tremper
Apr 19, 2012·Anesthesiology·Satya Krishna RamachandranSachin Kheterpal
Jan 4, 2013·British Journal of Anaesthesia·T M Cook, S R MacDougall-Davis
Feb 1, 2013·Anesthesiology·Jeffrey L ApfelbaumUNKNOWN American Society of Anesthesiologists Task Force on Postanesthetic Care
Oct 18, 2013·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·J Adam LawUNKNOWN Canadian Airway Focus Group
Oct 18, 2013·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·J Adam LawUNKNOWN Canadian Airway Focus Group
Nov 12, 2015·British Journal of Anaesthesia·C FrerkUNKNOWN Difficult Airway Society intubation guidelines working group
Aug 24, 2019·Anaesthesia and Intensive Care·Michal T KlugerAlan F Merry

❮ Previous
Next ❯

Citations

Apr 10, 2021·ClinicoEconomics and Outcomes Research : CEOR·Marilyn A MouchariteRobert Giffin
May 26, 2021·Anesthesia and Analgesia·Jochen Hinkelbein, Sirin Yücetepe
Oct 13, 2021·Anaesthesia and Intensive Care·John A Loadsman, Michael G Cooper

❮ Previous
Next ❯

Software Mentioned

Vortex
webAIRS

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.