Table 3 Details of anaesthesia-related events
Categories | n | Clinical manifestation | Treatment |
|---|---|---|---|
Unexpected difficult airway | 10 | Difficult laryngeal exposure with Macintosh and Glidescope laryngoscope; pressure oxygen mask was not effective | Fibreoptic bronchoscope-guided intubation (n = 7) Shikani seeing optical stylet-guided intubation (n = 1) Tracheotomy (n = 2) |
3 | Laryngeal oedema and dyspnoea | Intubation with an F5.5 tracheal tube +high-frequency ventilation | |
Airway occlusion | 2 | Severe dyspnoea caused by complete tracheal occlusion by a tracheal tumour during fibreoptic bronchoscope-guided awake intubation in a patient scheduled for tracheal surgery | Emergency cardiopulmonary bypass (CPB) Operation performed on CPB |
Bronchial spasm | 4 | SPO2 declined sharply with high airway pressure | Corticosteroid+endotracheal epinephrine |
Airway problems after extubation | 3 | Upper respiratory tract obstruction after extubation in patient with laryngocarcinoma operation history or radical resection of tongue carcinoma | Pressure oxygen mask and oropharyngeal airway |
2 | Dyspnea after double lumen tube extubation Laryngeal edema | Re-intubation and corticosteroids | |
Haemodynamic instability | 3 | Blood pressure declined suddenly during patient transfer (mediastinal flutter after pneumonectomy) | Ephedrine and dopamine administration |
Tooth loss | 3 | Tooth fell into the trachea or mouth | Removal of the tooth |
Cardiac arrest | 1 | Ventricular fibrillation occurred in the post-anaesthesia unit (PACU) | Cardio pulmonary resuscitation (survival) |
Drug mislabelling (sufentanil mislabelled as fentanyl) | 1 | Chest wall stiffness | Muscle relaxant administration |
Puncture hematoma | 3 | Swelling in the neck or arm | Pressure |