Unexpected, avoidable difficult airway
Why critical information exchange in a difficult airway fails? Are we doing things right?
DOI:
https://doi.org/10.30445/rear.v10i9.656Keywords:
human error, clinical safety, critical information transmition, difficult airwayAbstract
Predicting difficult airway is the first stape and is to be the basis for establishing the strategies for clinical safety following the addressing of difficult airway in a patient. Among the available predictors for difficult airway acknowledgement, background is one of the most importants. Despite being aware of its importance, in these days, episodes with a patient with a previous case of difficult airway turns into unexpected difficult airway keep on repeating, due to a breakdown in the critical information transmission of the past difficult episode. This may cause a devasting damage to the patient, its family and the professionals who suffer it.
This lack of information transmission about a background previous difficult airway is a human error opposing clinical safety and we should try to avoid it.
But, why this lack or fail in the nformation transmission? Why this information so important for the next episode won´t arrive? Why it has not the consideration and the means due?
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