Rapid Response: Your Questions

(formerly Dear SIRS)

Defective Central Venous Catheter Introducer Needle

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…

Volatile Anesthetic Unintentionally Not Delivered

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…

Potential Burn Hazard from General Electric MRIs

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…

LTA Tip Breaks in Patient’s Airway

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…

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