A lot of patients worry about anesthesia. Perhaps it’s discomfort with the notion of being brought to an unconscious state where they cannot feel pain, and then returned to awareness with no memory of the intervening events. While anesthesia, when properly administered, has become safer in recent decades, errors persist, leading to grim outcomes for patients. In 2013, the death rate in the US from anesthesia errors was three per 10,000 surgeries.
Causes and types of anesthesia errors
Trying to assign causation to accidents can be challenging, but in a medical setting the amount of assiduous record-keeping that accompanies even the most minor procedure can be extremely helpful to researchers and analysts. In the case of anesthesia errors, most issues fell into one or more of three categories: lack of monitoring, failure to follow proper procedures, and problems with equipment. As we look at the most common types of anesthesia errors, it becomes clear which cause or causes are the most likely to have been at play:-
- Failing to emphasize the importance of preoperative protocols
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- Failing to properly monitor patients before, during, and post anesthesia
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- Failing to fully read the patient’s medical history or interactions with the patient’s medications
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- Allergic reactions
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- Utilizing defective equipment
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- Incorrectly intubating the patient
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- Administering excessive amounts of anesthesia for the particular procedure or patient’s needs
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- Administering insufficient amounts of anesthesia for the particular procedure or patient’s needs
Effects of anesthesia errors
Not every anesthesia error leads to permanent issues for the patient. Some can be minor, annoying, or even dismissed entirely. However, as the effects of anesthesia are cumulative over a lifetime, any over dosage or misuse can lead to problems in the future if the patient needs to go under anesthesia again. Particularly for patients who are already seriously ill, the repercussions of anesthesia errors can become acute. Patients under a year of age or older than 65 are at the greatest risk of serious complications or death. Other not insubstantial risks include:-
- Damage to the circulatory system
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- Damage to the nervous system
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- Cardiovascular collapse
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- Cardiac rhythm issues
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- Asphyxia (lack of oxygen)
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- Brain damage
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- Spinal cord injuries, including possible paralysis
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- Malignant hyperthermia
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- Seizures
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- Stroke
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- Coma
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- Death