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Foreign body entrapment during thoracic surgery-time for closed loop communication.

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Foreign body entrapment (FBE) occurs in thoracic surgery. Communication errors are the main risk factor. Implementing closed-loop communication can prevent FBE during airway or esophageal procedures.

Keywords:
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Area of Science:

  • Thoracic Surgery
  • Surgical Safety
  • Preventable Medical Errors

Background:

  • Foreign body entrapment (FBE) is a preventable complication during general thoracic surgery involving airway and esophageal procedures.
  • Unlike retained foreign bodies, literature on FBE, its incidence, and risk factors is limited.

Purpose of the Study:

  • To investigate the occurrence, risk factors, and prevention strategies for foreign body entrapment (FBE) in general thoracic surgery.
  • To address the knowledge gap regarding FBE in pulmonary and foregut procedures.

Main Methods:

  • A survey was distributed to 215 surgeons affiliated with the General Thoracic Surgical Club.
  • The survey collected data on surgeon demographics, procedural volume, and reported instances and causes of FBE.

Main Results:

  • 110 surgeons responded (51% response rate).
  • 40% of pulmonary and 38% of foregut surgeons reported FBE, with higher rates in open procedures (67% and 69%, respectively).
  • Communication errors between surgical and anesthesia teams were the most frequently cited cause of FBE.

Conclusions:

  • Foreign body entrapment (FBE) is prevalent in both open and minimally invasive thoracic procedures.
  • Communication breakdown is the primary risk factor for FBE.
  • Routine closed-loop communication protocols before airway or esophageal stapling/suturing can significantly reduce FBE risk.