Incidents in obstetric anaesthesia and analgesia: An analysis of 5000 AIMS reports

被引：21

作者：

Sinclair, M ^{[1
]}

Simmons, S ^{[1
]}

Cyna, A ^{[1
]}

机构：

[1] Womens & Childrens Hosp, Dept Womens Anaesthesia, Adelaide, SA 5006, Australia

来源：

ANAESTHESIA AND INTENSIVE CARE | 1999年 / 27卷 / 03期

关键词：

anaesthesia : obstetric; complications : incident;

D O I：

10.1177/0310057X9902700309

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

We aimed to explore the first 5000 incidents reported to the Australian Incident Monitoring Study (AIMS) involving anaesthesia for obstetric patients and found 203 such incidents. Analysis and classification identified seven main incident groups; regional anaesthetic techniques (33%), anaesthetic equipment problems (13%), "wrong drug" errors (20%), other drug-related problems (16%), difficult/failed intubation (9%), problems with the endotracheal tube (9%) and other problems (10%). When compared to the incidents in the main database, obstetric cases were found to be over-represented with respect to accidental dural puncture, post dural puncture headache failed intubation in emergency situations and the incidence of certain types of "wrong drug" error: The implications of these reports regarding safe practice of obstetric anaesthesia are discussed.

引用

页码：275 / 281

页数：7

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