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Table 1 Registered critical incidents

From: Critical incidents during anesthesia: prospective audit

 

Type of critical incident

n (%)

AIRWAY

Difficult intubation

36 (19.1)

Unsuccessful intubation

6 (3.2)

Vasopressors

197

Reintubation

12 (6.4)

Esophageal intubation

4 (2.1)

Difficult mask ventilation

9 (4.8)

Unintentional extubation

2 (1.1)

Bronchospasm

6 (3.2)

Laryngospasm

6 (3.2)

Oxygen desaturation (spO2 < 90%)

26 (13.8)

Pneumothorax

4 (2.1)

Gastric content aspiration

4 (2.1)

HEMODYNAMIC

Hypotension (SAP < 70mmHg)

28 (14.9)

Hypertension (SAP > 200mmHg)

10 (5.3)

Bradycardia (HR < 40 bpm)

22 (11.7)

Tachycardia (HR > 140 bpm)

12 (6.4)

Cardiogenic pulmonary edema

2 (1.1)

Cardiac arrest

6 (3.2)

Massive hemorrhage

(> 1000ml)

32 (17)

Collapse

7 (3.7)

Arrhythmia

3 (1.6)

IVC compression syndrome

2 (1.1)

OTHER

Malignant hyperthermia

1 (0.5)

Ventilator circuit leak

3 (1.6)

Total spinal block

4 (2.1)

Unintentional dural puncture

2 (1.1)

Anaphylactic shock

4 (2.1)

  1. spO 2 – peripheral oxygen saturation; SAP – systolic arterial pressure; bpm – beats per minute; HR – heart rate; IVC – inferior vena cava