Editor’s Pick

Unintentional Arterial Injection

“Just as the anesthesia provider was about to inject the medication, he conducted one more…

Inadvertent Brainstem Anesthesia

“Subsequently, on a quick glance of the EKG, the anesthesia provider realized the patient was…

IV Failure in the ICU

“Upon inspection of the IV site, a swollen and mottled hand was noted.” Case Context…

Anesthesia Machine Close Call

“Unexpectedly, the CO2 canister immediately dropped to the floor with a loud thud.” Case Context…

Corneal Abrasion

“…the patient complained of excruciating pain in the left eye to the point she could…

Narcotized in the PACU

“The anesthesia provider asked for an Ambu® bag and the recovery room nurse realized all…

Failed Intubation and Mask Ventilation in an Emergency Cesarean Section

”There was no chest rise, no ETCO2, and the oxygen saturation was plummeting into the…

Stretcher Lock Failure

“The stretcher lock failed…creating a small divide between the stretcher and bed.”

Shift in Patient Position During Surgery

“ The surgeon was having difficulty exposing the polyp and requested steeper Trendelenburg position. [The…