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[Unusual accidents in anesthesia practice].

E Cardan

    Revista De Chirurgie, Oncologie, Radiologie, O.R.L., Oftalmologie, Stomatologie. Chirurgie
    |March 1, 1980
    PubMed
    Summary
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    Major medical procedures in anesthesia and intensive care increase iatrogenic accidents. These include esophageal perforation from tubes, fistulas after gastric aspiration, and direct esophageal trauma during tracheostomy.

    Area of Science:

    • Medical procedures
    • Patient safety
    • Anesthesiology
    • Intensive care medicine

    Context:

    • The practice of anesthesiology and intensive care involves complex procedures.
    • These procedures carry inherent risks of iatrogenic complications.
    • An increasing frequency of such accidents has been observed.

    Purpose:

    • To highlight the occurrence of iatrogenic accidents in anesthesiology and intensive care.
    • To identify specific types of esophageal injuries resulting from medical interventions.
    • To raise awareness among healthcare professionals regarding these risks.

    Summary:

    • Major maneuvers in anesthesiology and intensive care are associated with a rise in iatrogenic accidents.
    • Specific examples include esophageal perforation during Porges tube insertion.

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  • Other documented injuries are left esophago-pleural fistula post-gastric aspiration and direct esophageal trauma during tracheostomy.

    • Impact:

    • Increased vigilance in monitoring patients undergoing these procedures.
    • Potential for developing improved safety protocols to mitigate esophageal injuries.
    • Emphasis on careful technique during tube placement and surgical interventions.
    • Need for further research into prevention strategies for iatrogenic esophageal trauma.