Critical incidents: the respiratory system. Issue 12 (December 2019)

• Record Type: Journal Article
• Authors: Miles, Edward TC.; Cook, Tim M.
• Is Part Of: Anaesthesia and intensive care medicine. Volume 20:Issue 12(2019)
• Page Start: 687
• Page End: 692
• Publication Date: 2019-12
• Subjects: Airway failure -- airway injury -- airway obstruction -- aspiration -- cannot intubate -- cannot oxygenate -- lung-protective ventilation -- pneumothorax -- respiratory complications; Anesthesiology -- Periodicals; Critical care medicine -- Periodicals; Anesthesia -- Periodicals; Intensive care -- Periodicals; Electronic journals; Periodicals; 617.9605
• DOI: 10.1016/j.mpaic.2019.10.007
• Languages: English
• ISSNs: 1472-0299

Abstract

Abstract: Respiratory complications are expensive, not just in terms of the overall litigation burden faced by anaesthetists but also, and more importantly, the mortality and morbidity burden faced by our patients. Critical incidents arising in the respiratory system can cause rapid deterioration if left unchecked: trauma to airway structures can be debilitating or even life threatening; hypoxaemia may result in damage to other organ systems, most notably the brain. Each patient carries their own risk profile, as well as unique ideas, concerns and expectations of their anaesthetist. An understanding of the potential critical incidents that may befall the respiratory system, a patient-centred approach to discussing these risks, and familiarity with the procedures for mitigating harm are all necessary components of safe, effective practice in anaesthesia.