(formerly Dear SIRS)
APSF Newsletter, October 2018
Dear SIRS: My hospital had three incidents in the last four years that may be related to volatile anesthetics unintentionally not being delivered to the patient. After each of these…
APSF Newsletter, October 2018
Dear SIRS: We are writing to describe an incident we experienced involving a central line kit that has implications for patient safety. The case involved a 70-year-old morbidly obese patient…
APSF Newsletter, October 2018
Dear SIRS: Our department recently received a warning from General Electric regarding the potential hazard of patients suffering burns during magnetic resonance imaging (MRI) with its equipment. I am not…
APSF Newsletter, October 2018
Dear SIRS: Anesthesia equipment malfunction may contribute to increased patient morbidity and mortality. We present a complication resulting from an accidental break in the Laryngotracheal Analgesia Device (International Medical Systems…
APSF Newsletter, October 2018
Dear SIRS: Venous air embolism (VAE) is a life-threatening emergency. Extensive causes of air embolism have been described in the literature.1 Embolisms from peripheral intravenous (IV) infusions are extremely rare,…
APSF Newsletter, June 2018
Dear SIRS: I am writing to report a case of a defective pediatric endotracheal tube (ETT) that has implications for patient safety. A 14-day-old infant was induced intravenously for a…