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Table 3 Details of anaesthesia-related events

From: A retrospective analysis of 62,571 cases of perioperative adverse events in thoracic surgery at a tertiary care teaching hospital in a developing country

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