APSF Newsletter, October 2018
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, especially in…
APSF Newsletter, October 2018
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 incidents we…
APSF Newsletter, October 2018
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 aware that…
APSF Newsletter, October 2018
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 (IMS) Lidocaine…
APSF Newsletter, June 2018
I am writing to describe an incident we experienced at The University of Texas MD Anderson Cancer Center that has implications for providers administering intravenous medications, particularly in the operating…
APSF Newsletter, June 2018
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 sternal wound…