Articles  |   February 2015
ACE Question
Article Information
Airway Management / Education / CPD / Articles
Articles   |   February 2015
ACE Question
ASA Monitor 02 2015, Vol.79, 70.
ASA Monitor 02 2015, Vol.79, 70.
With regard to the ASA Closed Claims database, which statement about adverse respiratory events and difficult intubation in anesthesia is most likely true?
The ASA Closed Claims Project is a systematic review of closed claim files regarding adverse anesthetic outcomes obtained from U.S. professional liability insurance companies. Respiratory adverse events represent the single largest group of injuries leading to a malpractice claim in the ASA Closed Claims database. Three mechanisms were responsible for the majority of cases:
In addition, the care was considered to be substandard by the reviewers in approximately 76 percent of the adverse airway events and almost 50 percent of the difficult airway claims. Although difficult airway events occurred throughout the perioperative period, the majority (two-thirds) occurred in association with induction. Death or brain damage occurred in more than half of the perioperative difficult airway claims and in all of the claims for events occurring at sites outside the perioperative environment (e.g., medical wards, emergency rooms, etc.).
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