| The Australian Incident Monitoring Study. Problems with regional anaesthesia: an analysis of 2000 incident reports. | |
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MedLine Citation:
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PMID: 8273890 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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There were 160 incidents associated with regional anaesthesia amongst the first 2000 incidents reported to the Australian Incident Monitoring Study. They were categorised into 6 groups; epidural anaesthesia (83), spinal anaesthesia (42), brachial plexus blocks (14), intravenous local anaesthesia (4), ocular blocks (3), and local infiltration (14). The largest single cause of incidents involved circulatory problems; these occurred in all the groups except brachial plexus block (30 cases of hypotension, 7 of arrhythmias, 3 of cardiac arrest, 2 of hypertension and 1 of myocardial ischaemia). There were 24 drug errors, of which 10 involved the "wrong drug" and 4 "inappropriate use". With the exception of these, all the remainder involved problems specific to regional anaesthesia: 26 inadvertent dural punctures; 19 failed or inadequate blocks; 14 dural puncture headaches (all cured by blood patches); 10 inadvertent total or high spinal blocks (of which 7 required artificial ventilation); 5 blocks on the wrong side or in the wrong patient; 3 late hypoxic incidents and a variety of miscellaneous problems. Three-quarters of all incidents occurred in the presence of an anaesthetist and over 90% in patients of ASA Groups I-III. Rapid recognition by the anaesthetist prevented many potentially life threatening events, and the only death was as a result of surgical bleeding. |
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Authors:
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M A Fox; R K Webb; R Singleton; G Ludbrook; W B Runciman |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Anaesthesia and intensive care Volume: 21 ISSN: 0310-057X ISO Abbreviation: Anaesth Intensive Care Publication Date: 1993 Oct |
Date Detail:
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Created Date: 1994-02-03 Completed Date: 1994-02-03 Revised Date: 2006-08-28 |
Medline Journal Info:
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Nlm Unique ID: 0342017 Medline TA: Anaesth Intensive Care Country: AUSTRALIA |
Other Details:
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Languages: eng Pagination: 646-9 Citation Subset: IM |
Affiliation:
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Department of Anaesthesia & Intensive Care, University of Adelaide, South Australia. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Accidents
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statistics & numerical data* Anesthesia, Conduction / adverse effects* Australia / epidemiology Humans Incidence Risk Management / methods* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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