General Anesthesiology

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…

Carpal Tunnel Release

“The patient, who had previously been alert and oriented, was now complaining of tinnitus, dizziness,…

Anaphylaxis

“…the patient stated, ‘I’m burning’. The nurse anesthetist questioned the patient regarding burning at the…

Oxygen Desaturation After Extubation

“Upon arrival to PACU, the patient’s overall color was ashen and his lips became cyanotic.”…

Unintentional Intraoperative Extubation

“When the ETT was slightly withdrawn, the patient was accidentally extubated.”   Case Context   …