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2 results

  • Chapter 21 - Anaesthetic Mishaps

  • from Section 2 - Crises and Complications
  • William Fawcett, Royal Surrey County Hospital, Guildford and University of Surrey, Olivia Dow, Guy's and St Thomas' NHS Foundation Trust, London, Judith Dinsmore, St George's Hospital, London
  • Book:
    Robinson and Hall's How to Survive in Anaesthesia
    Published online:
    09 June 2025
    Print publication:
    26 June 2025, pp 125-128

  • Summary

    Errors made by anaesthetists may result in morbidity and even mortality.

    These errors can result from the placing and subsequent care of cannulae. It is vital to ensure that they are correctly sited, flushed after use and the needle is disposed of appropriately. For arterial cannulae it is vital that they are also correctly flushed and adequate dead space is removed prior to analysing samples, with the transducer at the correct height.

    The airway is fundamental in anaesthesia and ensuring correct tracheal tube placement is paramount. In addition, mishaps can occur with disconnections, failure to deliver the correct gases and volatiles, as well as faulty equipment including laryngoscopes and suction equipment. Monitoring equipment is a key area and ensures the is patient is breathing correct quantities of oxygen and is properly anaesthetised. Do not disable the alarms on monitors.

    Always ensure the correct drug is given in the correct dose by the correct route. Labelling of drug syringes will assist. Ensure that no drugs intended for regional blockade (eg epidurals) are injected intravenously and vice versa.

    Finally transfer of patients into and out of theatre should only take place when the patient is stable.

  • Incidence and reporting of sharps injuries amongst ENT surgeons

  • A Vijendren, J Sanchez, M Yung
  • Journal:
    The Journal of Laryngology & Otology / Volume 130 / Issue 6 / June 2016
    Published online by Cambridge University Press:
    29 February 2016, pp. 581-586
    Print publication:
    June 2016
  • Background:

    Sharps injuries are a common occupational hazard amongst surgeons. Limited work has been conducted on their effects within the ENT community.

    Methods:

    A literature review was performed and a survey on sharps injuries was distributed to the entire membership of ENT-UK electronically.

    Results:

    The literature review revealed 3 studies, with 2 of them performed more than 20 years ago. A total of 323 completed questionnaires were returned (24 per cent response rate). Of the respondents, 26.6 per cent reported having experienced sharps injuries. There was no statistical difference between the occurrence of sharps injuries and the grade, length of time spent in the specialty or subspecialty of respondents. Only 33.7 per cent of afflicted clinicians reported all their injuries as per local institutional policies. No seroconversions were reported.

    Conclusion:

    The study found poor evidence on sharps injuries amongst ENT surgeons, and low reporting rates that were comparable to other studies conducted in the UK. This highlights the need for further research and increasing awareness on sharps injuries regulations within the specialty.