Skip to main content
Erschienen in: Canadian Journal of Anesthesia/Journal canadien d'anesthésie 2/2021

16.11.2020 | Editorials

Death and brain damage from difficult airway management: a “never event”

verfasst von: Karen B. Domino, MD, MPH

Erschienen in: Canadian Journal of Anesthesia/Journal canadien d'anesthésie | Ausgabe 2/2021

Einloggen, um Zugang zu erhalten

Excerpt

In this issue of the Journal, Crosby and coinvestigators report anesthesiology airway-related complications from the medicolegal files of the Canadian Medical Protection Association (CMPA).1 The authors reviewed airway-related civil legal cases involving specialist anesthesiologists that closed between 2007 and 2016. The variables abstracted by the CMPA medical analysts (trained registered nurses) included clinical context, contributing factors based upon peer physician expert reviews, and patient/legal outcomes. …
Literatur
2.
Zurück zum Zitat Cook TM, Woodall N, Frerk C, Fourth National Audit Project. Major complications of airway management in the UK: results of the Fourth National Audit Project of the Royal College of Anaesthetists and the Difficult Airway Society. Part 1: Anaesthesia. Br J Anaesth 2011; 106: 617-31.CrossRef Cook TM, Woodall N, Frerk C, Fourth National Audit Project. Major complications of airway management in the UK: results of the Fourth National Audit Project of the Royal College of Anaesthetists and the Difficult Airway Society. Part 1: Anaesthesia. Br J Anaesth 2011; 106: 617-31.CrossRef
3.
Zurück zum Zitat Cook TM, Woodall N, Harper J, Benger J, Fourth National Audit Project. Major complications of airway management in the UK: results of the Fourth National Audit Project of the Royal College of Anaesthetists and the Difficult Airway Society. Part 2: Intensive care and emergency departments. Br J Anaesth 2011; 106: 632-42.CrossRef Cook TM, Woodall N, Harper J, Benger J, Fourth National Audit Project. Major complications of airway management in the UK: results of the Fourth National Audit Project of the Royal College of Anaesthetists and the Difficult Airway Society. Part 2: Intensive care and emergency departments. Br J Anaesth 2011; 106: 632-42.CrossRef
4.
Zurück zum Zitat Woodall N, Frerk C, Cook TM. Can we make airway management (even) safer? – lessons from national audit. Anaesthesia 2011; 66(Suppl 2): 27-33.CrossRef Woodall N, Frerk C, Cook TM. Can we make airway management (even) safer? – lessons from national audit. Anaesthesia 2011; 66(Suppl 2): 27-33.CrossRef
5.
Zurück zum Zitat Joffe AM, Aziz MF, Posner KL, Duggan LV, Mincer SL, Domino KB. Management of difficult tracheal intubation: a closed claims analysis. Anesthesiology 2019; 131: 818-29.CrossRef Joffe AM, Aziz MF, Posner KL, Duggan LV, Mincer SL, Domino KB. Management of difficult tracheal intubation: a closed claims analysis. Anesthesiology 2019; 131: 818-29.CrossRef
6.
Zurück zum Zitat Honardar MR, Posner KL, Domino KB. Delayed detection of esophageal intubation in anesthesia malpractice claims: brief report of a case series. Anesth Analg 2017; 125: 1948-51.CrossRef Honardar MR, Posner KL, Domino KB. Delayed detection of esophageal intubation in anesthesia malpractice claims: brief report of a case series. Anesth Analg 2017; 125: 1948-51.CrossRef
7.
Zurück zum Zitat Law JA, Broemling N, Cooper RM, et al. The difficult airway with recommendations for management – part 1 – difficult tracheal intubation encountered in the unconscious/induced patient. Can J Anesth 2013; 60: 1089-118.CrossRef Law JA, Broemling N, Cooper RM, et al. The difficult airway with recommendations for management – part 1 – difficult tracheal intubation encountered in the unconscious/induced patient. Can J Anesth 2013; 60: 1089-118.CrossRef
8.
Zurück zum Zitat Law JA, Broemling N, Cooper RM, et al. The difficult airway with recommendations for management – part 2 – the anticipated difficult airway. Can J Anesth 2013; 60: 1119-38.CrossRef Law JA, Broemling N, Cooper RM, et al. The difficult airway with recommendations for management – part 2 – the anticipated difficult airway. Can J Anesth 2013; 60: 1119-38.CrossRef
9.
Zurück zum Zitat American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Practice guidelines for management of the difficult airway: an updated report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Anesthesiology 2003; 98: 1269-77.CrossRef American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Practice guidelines for management of the difficult airway: an updated report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Anesthesiology 2003; 98: 1269-77.CrossRef
10.
Zurück zum Zitat Apfelbaum JL, Hagberg CA, Caplan RA, et al. Practice guidelines for management of the difficult airway: an updated report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Anesthesiology 2013; 118: 251-70.CrossRef Apfelbaum JL, Hagberg CA, Caplan RA, et al. Practice guidelines for management of the difficult airway: an updated report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Anesthesiology 2013; 118: 251-70.CrossRef
11.
Zurück zum Zitat Stiegler MP, Tung A. Cognitive processes in anesthesiology decision making. Anesthesiology 2014; 120: 204-17.CrossRef Stiegler MP, Tung A. Cognitive processes in anesthesiology decision making. Anesthesiology 2014; 120: 204-17.CrossRef
12.
Zurück zum Zitat Schulz CM, Burden A, Posner KL, et al. Frequency and type of situational awareness errors contributing to death and brain damage: a closed claims analysis. Anesthesiology 2017; 127: 326-37.CrossRef Schulz CM, Burden A, Posner KL, et al. Frequency and type of situational awareness errors contributing to death and brain damage: a closed claims analysis. Anesthesiology 2017; 127: 326-37.CrossRef
13.
Zurück zum Zitat Prielipp RC, Magro M, Morell RC, Brull SJ. The normalization of deviance: do we (un)knowingly accept doing the wrong thing? Anesth Analg 2010; 110: 1499-502.CrossRef Prielipp RC, Magro M, Morell RC, Brull SJ. The normalization of deviance: do we (un)knowingly accept doing the wrong thing? Anesth Analg 2010; 110: 1499-502.CrossRef
Metadaten
Titel
Death and brain damage from difficult airway management: a “never event”
verfasst von
Karen B. Domino, MD, MPH
Publikationsdatum
16.11.2020
Verlag
Springer International Publishing
Erschienen in
Canadian Journal of Anesthesia/Journal canadien d'anesthésie / Ausgabe 2/2021
Print ISSN: 0832-610X
Elektronische ISSN: 1496-8975
DOI
https://doi.org/10.1007/s12630-020-01847-6

Weitere Artikel der Ausgabe 2/2021

Canadian Journal of Anesthesia/Journal canadien d'anesthésie 2/2021 Zur Ausgabe

Mehr Frauen im OP – weniger postoperative Komplikationen

21.05.2024 Allgemeine Chirurgie Nachrichten

Ein Frauenanteil von mindestens einem Drittel im ärztlichen Op.-Team war in einer großen retrospektiven Studie aus Kanada mit einer signifikanten Reduktion der postoperativen Morbidität assoziiert.

Delir bei kritisch Kranken – Antipsychotika versus Placebo

16.05.2024 Delir Nachrichten

Um die Langzeitfolgen eines Delirs bei kritisch Kranken zu mildern, wird vielerorts auf eine Akuttherapie mit Antipsychotika gesetzt. Eine US-amerikanische Forschungsgruppe äußert jetzt erhebliche Vorbehalte gegen dieses Vorgehen. Denn es gibt neue Daten zum Langzeiteffekt von Haloperidol bzw. Ziprasidon versus Placebo.

Eingreifen von Umstehenden rettet vor Erstickungstod

15.05.2024 Fremdkörperaspiration Nachrichten

Wer sich an einem Essensrest verschluckt und um Luft ringt, benötigt vor allem rasche Hilfe. Dass Umstehende nur in jedem zweiten Erstickungsnotfall bereit waren, diese zu leisten, ist das ernüchternde Ergebnis einer Beobachtungsstudie aus Japan. Doch es gibt auch eine gute Nachricht.

Darf man die Behandlung eines Neonazis ablehnen?

08.05.2024 Gesellschaft Nachrichten

In einer Leseranfrage in der Zeitschrift Journal of the American Academy of Dermatology möchte ein anonymer Dermatologe bzw. eine anonyme Dermatologin wissen, ob er oder sie einen Patienten behandeln muss, der eine rassistische Tätowierung trägt.

Update AINS

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.