AIRR - ANZCA Institutional Research Repository
Skip navigation
Please use this identifier to cite or link to this item:
Full metadata record
DC FieldValueLanguage
dc.contributor.authorEndlich, Yen_US
dc.contributor.authorBeckmann, LAen_US
dc.contributor.authorSiu-Wai, Cen_US
dc.contributor.authorCulwick, MDen_US
dc.description.abstractThis audit of airway incidents was conducted over six months in 12 tertiary level hospitals across Australia and New Zealand. During that time, 131,233 patients had airway management and 111 reports were submitted (incidence 0.08%). The airway incidents included a combination of difficult airway management (83), oxygen desaturation (58), aspiration (19), regurgitation (14), laryngospasm (16), airway bleeding (10), bronchospasm (5) and dental injury (4), which gave a total of 209 events in 111 reports. Most incidents occurred during general anaesthesia (GA; 83.8%) and normal working hours (81.1%). Forty-three percent were associated with head and neck surgery and 12.6% with upper abdominal procedures. Of these patients, 52% required further medical treatment or additional procedures and 16.2% required unplanned admission to an intensive care unit or a high dependency unit. A total of 31.5% of patients suffered from temporary harm and 1.8% from permanent harm. There was one death. The factors associated with a high relative risk (RR) of an airway incident included American Society of Anesthesiologists Physical Status (ASA PS) (ASA PS 2 versus 1, RR 1.75; ASA PS 3 versus 1, RR 3.56; ASA PS 4 versus 1, RR 6.1), and emergency surgery (RR 2.16 compared with elective). Sedation and monitored anaesthesia care were associated with lower RRs (RR 0.49 and RR 0.73 versus GA, respectively). Inadequate airway assessment, poor judgement and poor planning appeared to be contributors to these events. Future teaching and research should focus on these areas to further improve airway management and patient safety.en_US
dc.subjectAirway Managementen_US
dc.subjectIncident reportingen_US
dc.titleA prospective six-month audit of airway incidents during anaesthesia in twelve tertiary level hospitals across Australia and New Zealanden_US
dc.typeJournal Articleen_US
dc.identifier.journaltitleAnaesthesia and Intensive Careen_US
dc.description.affiliatesUniversity of Adelaideen_US
dc.description.affiliatesUniversity of Queenslanden_US
dc.description.affiliatesUniversity of Hong Kongen_US
dc.description.affiliatesRoyal Brisbane and Women’s Hospitalen_US
dc.description.affiliatesThe Australian and New Zealand Tripartite Anaesthetic Data Committeeen_US
dc.description.affiliatesAustralian and New Zealand College of Anaesthetistsen_US
dc.type.studyortrialReviews/Systematic Reviewsen_US
item.fulltextNo Fulltext-
item.openairetypeJournal Article-
Appears in Collections:Scholarly and Clinical
Show simple item record

Google ScholarTM



Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.