Great Britain
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Families welcome new guidance to prevent respiratory tube deaths

Grieving families welcome new guidance to prevent common surgical procedures from failing and leading to death.

Esophageal intubation occurs when a breathing tube is placed in the esophagus, the tube that leads to the stomach, instead of the trachea, the tube that leads to the trachea.

If not detected quickly, it can lead to brain damage or death.

Glenda Logsdail died inMilton Keynes University Hospitalin 2020 after her breathing tube was accidentally inserted into her esophagus.

We miss her, but if something good comes out of her

Glenda Logsdail's Family

A 60-year-old radiologist prepares for appendicitis surgery when an error occurs.

Her family welcomed the guidance, stating in her statement: I had to experience it as a family.

``Glenda was a wife of over 40, mother of two children, and grandmother of three grandchildren.

"She loves to make sweets with her grandchildren, especially chocolate cake. I often saw him with a fizz glass in his hand and a smile on his face.”

Esophageal intubation is associated with technical problems, inexperienced clinicians, and tube availability. It can occur for a variety of reasons, including movement, "anatomical distortion".

Mistakes are relatively common, but usually detected quickly and harmlessly.

Milton Keynes University Hospital (PA)

(PA Archives)

Six people die each year in the UK. However, numbers are unclear as reporting of negligence is not mandated.

New guidance published in the journal Anaesthesia recommends monitoring exhaled carbon dioxide and measuring Pulse oximetry is available and recommended for all procedures requiring a breathing tube.

UK and Australia experts also recommend using a videolaryngoscope (an intubation device fitted with a video camera to improve vision) when inserting a breathing tube. Did.

The authors conclude:

"While this guideline emphasizes this point, it also provides a more comprehensive approach to the occurrence of unrecognized esophageal intubation based on both technical and human factors.

"The emphasis is not on the definitive diagnosis of misplaced tubes, but on the identification of unacceptable risk, which is the trigger for tube removal."

62} Dr. Mike Nathanson, President of the Association of Anesthesiologists, said:

"We welcome this important international initiative and hope that this guidance will be widely disseminated.

"To prevent future accidents, education, innovation

“The suggestion to confirm the presence of exhaled carbon dioxide by two people is welcome. I hope."