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Major Airway Complications of Anaesthesia

Major Airway Complications of Anaesthesia. Dr Nick Woodall NAP4 Wednesday July 13th 2011. 207 Reports. 184 Reports by Inclusion Criteria. Inclusion Criteria all Areas. Final Outcome. Demographic Data. Age. Habitus. Location of Event. Procedures. Elective or scheduled 54%

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Major Airway Complications of Anaesthesia

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  1. Major Airway Complications of Anaesthesia Dr Nick Woodall NAP4 Wednesday July 13th 2011

  2. 207 Reports

  3. 184 Reports by Inclusion Criteria

  4. Inclusion Criteria all Areas

  5. Final Outcome

  6. Demographic Data

  7. Age

  8. Habitus

  9. Location of Event

  10. Procedures • Elective or scheduled 54% • 00:01-08:00 14% • 08:01-18:00 69% • 18:01-24:00 17%

  11. Primary Airway Management Device

  12. Primary Airway Problem

  13. Final Outcome

  14. Incidence of Complications

  15. Clustering by Hospital

  16. Date of Event 197

  17. Local Reporters’ Complications • 286 LRs • Report origin provided in 130 • LR was also the anaesthetist for 19 of 130 reports • If all 6233 consultants behaved as LRs 6233/286 x 19 = 414 reports • 64% of reports came from consultants 100/64 x 414 = 646 reports • 646reports V 133 received 1 in 4

  18. Events per Anaesthetist 133 events during 2.9m GA 1:22,000 Only 1 in 4 reported 1:5,500 Each event has 3 anaesthetists present 1: 1,800

  19. Summary of Case Reviews • Males, ASA 1-2, age < 60 years • Elective procedures • Anaesthetised by consultants • 25% of events occurred at emergence or in recovery • Obesity implicated • Airway obstructive lesions • Crico-thyroidotomy by anaesthetists low success rate • Omission or incorrect interpretation of capnography led to undiagnosed OI • Elements of poor management observed in most complications and deaths

  20. The End

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