ArticleEuropean journal of anaesthesiology and intensive care2026
Airway management complications: an audit from a large tertiary hospital: A single-centre study.
Article in European journal of anaesthesiology and intensive care, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundThe 4th National Audit Project of the Royal College of Anaesthetists reported an incidence of major airway complications of 1 in 22 000 general anaesthetics. A decade later, the 7th National Audit Project reported on peri-operative cardiac arrests; a third of these were cardiovascular, and a quarter were airway related.
objectiveTo assess airway management complications throughout our hospital and identify specific areas for improvement.
designSingle-centre prospective observational audit from October to December 2023. Data was collected using a QR code linked to a web collection tool, Google Form. SETTINGS: A large academic adult tertiary referral centre.
participantsPatients who required airway management, elective and emergency, across the hospital, including our main operating theatres, remote anaesthesia sites, postanaesthetic care unit, intensive care unit, emergency department and wards. MAIN OUTCOME: The incidence of complications of airway management.
resultsThere were 63 airway complications recorded in 48 patients, an overall incidence of 3.4%. Airway complications were noted to have a higher incidence in emergency compared to elective airway management (5.4 vs. 2.2%,
conclusionThis is a snapshot of airway management experience across a single tertiary centre. Emergency airway management and locations outside the operating theatre had a higher complication rate with hypotension (SBP < 65 mmHg) being the most frequent physiological event followed by hypoxia (SpO STUDY REGISTRATION: The study was discussed with the Institutional Review Board, and approval (registration number CA2023/226) was provided by the Clinical Audit Committee.
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