Hi Kathryn, I just wanted to say thank you for bravely sharing your story. I've just watched the video as part of a training package on IV care and found it very valuable.
Hi, I'm a consultant anaesthetist and would like to know more about the events so we can learn how to overcome them in the future. I see an alert 'remember to flush the lines' as a relatively ineffective intervention. It will do little if anything at all to prevent the same issue from happening again. Perhaps if we knew what led to suxamethonium still being in the line we could design systems which prevent residual drug remaining in lines. Thanks for the video. Rob
The residual anesthesia was in the cannula or some other part of the equipment still connected and left over from the anesthesia being administered. She was given different IV medication through the same equipment and accidentally introduced the leftover anesthetic into her bloodstream
And how would "flushing the lines" be ineffective? Putting some sterile water through the line after the anesthetic medication would ensure there's no medication left to cause problems in the future and removing it altogether would ensure the same thing can't happen as a new cannula wouldn't have leftover medication inside. You don't seem very bright, especially for an apparent "consultant anaesthetist." You're not just a little off either, you said you see it as "relatively ineffective" when it's 100% effective. Lmao. Don't put me to sleep for an operation, probably never wake up...
You seem to have misread. Rob did not at any point say the act of flushing the lines would be ineffective. He said an alert to do so might be. He's probably right. Alerts are common and plentiful. Putting Kathryn's story or face to it is beneficial in this case, but the points he is raising are regards looking at the systems in place that led to this. Systems and protocols are usually in place to reduce risk to patients, staff and environments. For this error to be possible suggests a systemic failure. @@zatomlzxzanamolzy1253
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Hi Kathryn, I just wanted to say thank you for bravely sharing your story. I've just watched the video as part of a training package on IV care and found it very valuable.
Thank you Kathryn. Valuable lesson to learn.
Thank you for sharing your story, I found this very valuable
I have lost mother due to similar event 😢
Hi, I'm a consultant anaesthetist and would like to know more about the events so we can learn how to overcome them in the future.
I see an alert 'remember to flush the lines' as a relatively ineffective intervention. It will do little if anything at all to prevent the same issue from happening again.
Perhaps if we knew what led to suxamethonium still being in the line we could design systems which prevent residual drug remaining in lines.
Thanks for the video. Rob
The residual anesthesia was in the cannula or some other part of the equipment still connected and left over from the anesthesia being administered. She was given different IV medication through the same equipment and accidentally introduced the leftover anesthetic into her bloodstream
And how would "flushing the lines" be ineffective? Putting some sterile water through the line after the anesthetic medication would ensure there's no medication left to cause problems in the future and removing it altogether would ensure the same thing can't happen as a new cannula wouldn't have leftover medication inside. You don't seem very bright, especially for an apparent "consultant anaesthetist." You're not just a little off either,
you said you see it as "relatively ineffective" when it's 100% effective. Lmao. Don't put me to sleep for an operation, probably never wake up...
You seem to have misread. Rob did not at any point say the act of flushing the lines would be ineffective. He said an alert to do so might be. He's probably right. Alerts are common and plentiful. Putting Kathryn's story or face to it is beneficial in this case, but the points he is raising are regards looking at the systems in place that led to this. Systems and protocols are usually in place to reduce risk to patients, staff and environments. For this error to be possible suggests a systemic failure. @@zatomlzxzanamolzy1253
Thank you and God bless you
there are SO many problems in this case ...
God Bless You🙏🙏🙏🦋❤️
I've got one and its sh!t