Document Detail

Retained throat packs: results of a national survey and the application of an organisational accident model.
MedLine Citation:
PMID:  18367296     Owner:  NLM     Status:  MEDLINE    
Throat packs are commonly placed in the patient's pharynx before oral surgical procedures under general anaesthesia. The pack is thought to protect the airways from aspiration of surgical debris, but if it is retained after extubation it can obstruct the airway. Adverse incidents after retention of throat packs have been reported anecdotally, but to our knowledge the risk management practices undertaken and common events surrounding retention of throat packs, have not been published before. We investigated the management of throat packs in 2007, by sending a questionnaire to maxillofacial surgeons and anaesthetists in the UK. We discuss the results and apply them to an organisational accident model.
G J Knepil; C W Blackburn
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Publication Detail:
Type:  Journal Article     Date:  2008-03-25
Journal Detail:
Title:  The British journal of oral & maxillofacial surgery     Volume:  46     ISSN:  1532-1940     ISO Abbreviation:  Br J Oral Maxillofac Surg     Publication Date:  2008 Sep 
Date Detail:
Created Date:  2008-08-18     Completed Date:  2008-12-16     Revised Date:  2009-05-20    
Medline Journal Info:
Nlm Unique ID:  8405235     Medline TA:  Br J Oral Maxillofac Surg     Country:  Scotland    
Other Details:
Languages:  eng     Pagination:  473-6     Citation Subset:  D; IM    
Oral and Maxillofacial Surgery, York Hospital, Wigginton Rd, York, YO31 8HE, United Kingdom.
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MeSH Terms
Dental Service, Hospital
Foreign Bodies / etiology*
Great Britain
Operating Room Nursing
Oral Surgical Procedures / adverse effects*,  instrumentation
Risk Management
Surgery, Oral
Surgical Sponges / adverse effects*

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