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Undetected Oesophageal Intubation

Prof Tim Cook presents the main learning points from the tragic case of Glenda Logsdail, who sadly died from unrecognised oesophageal intubation

In this video edited by Dr Helena Smith, Prof Tim Cook talks about safety issues that were highlighted in the tragic case of Glenda Logsdail, who sadly died from unrecognised oesophageal intubation.

The video delivers a message to focus on improving human factors and ergonomics and you will recognise some of the aspects, we discussed in the previous activity about human factors and ergonomics in airway management.

  • safe design
  • safe culture
  • safe practices

The Global Capnography Project

The Lancet Commission on Global Surgery emphasised the importance of access to safe anaesthesia care. Capnography is an essential monitor for safe anaesthesia but is not yet universally available. The Global Capnography Project (GCAP), which started in 2016, aims to introduce capnography to low-income countries. This international project aims to make global capnography become the standard of care, like pulse oximetry, to improve patient safety worldwide [2]. In Week 5 of this course we’ll learn about airway management in Low and Middle Income Countries, and look at airway management from a Global Perspective.

Let’s now move to the next activity where we will be taking a journey through the airways. A good knowledge of anatomy is of fundamental importance to anybody managing a patient’s airway.

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Airway Matters

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