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Pulling the plug on ad hoc critical incident training
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Safe airway management and ventilation is one of the central tenets of anaesthesia. Fortunately, the failure of equipment for gas delivery is a rare event. An analysis of the database of the American Society of Anesthesiologists Closed Claims Project between 1962 and 1991 found that gas delivery equipment was associated with only 2% (72) of these claims,1 but the consequences tended to be grave: three-quarters involved death or permanent brain damage. In a recent simulation-based study, the only error made by all participants related to the management of a failure in oxygen supply.2 It is clear that anaesthetists should be trained to recognize and deal with problems of this type, and reinforce those skills regularly throughout their careers. But what is the best way of doing this?
Recently, an
1 Division of Anaesthesia
Addenbrooke's Hospital
Cambridge
UK
2 Department of Anaesthesiology
University of Auckland
Auckland
New Zealand
* E-mail: dww21@cam.ac.uk
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