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![]() ![]() This is described where evidence or consensus exists on how we may avoid these complications. This article focuses on the more minor physical injuries which patients may suffer during anaesthesia. 2 Clearly, case-mix and co-morbidity will have a major impact on the incidence. Reports of its incidence vary widely i.e. However, many are the result of human error and may be avoided through anticipation and high standards of practice.ĭeath is a rare complication of anaesthesia. Some causes of iatrogenic injury are difficult to avoid, in particular unexpected adverse drug reactions such as anaphylaxis. Iatrogenic injury is a broad term that may be defined as ‘harm, hurt, damage or impairment that results from the activities of a doctor.’ 1 This includes physical injuries, adverse drug reactions, drug errors, surgical mishaps and adverse outcomes associated with equipment failure. Muscular and cutaneous injuries are commonest in the elderly and debilitated they may be fatal in these patients. Blindness occurs following 1 in 125 000 (0.0008%) general anaesthetics. Ocular injury occurs during 0.1% of general anaesthetics, and is usually corneal. Peripheral nerve injury is usually due to poor patient positioning during general anaesthesia or to intra-neural injection during regional anaesthesia. Many injuries sustained during anaesthesia are due to human error and may be avoided through high standards of clinical practice.ĭental injury occurs during 1% of general anaesthetics and is the commonest cause for litigation against anaesthetists.
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