Airway management

Risk patterns of consecutive adverse events in airway management: a Bayesian network analysis

Br J AnaesthPublished Before-and-after audit study with Bayesian network analysis

Authors' conclusion

Identification of risk patterns and typical structures of event sequences provides a clinically relevant perspective on airway incidents. It further provides a means to quantify the impact of targeted airway management changes. These targeted changes can influence some event sequences, but overall, the benefit results from the cumulative effect of improvements in multiple events.

Study context

Population
Patients undergoing airway management with minor, frequently occurring adverse airway events audited
Comparison
Before vs After
Outcome
Risk of first adverse airway event and conditional probabilities of event sequences
Methodological detailsbefore-and-after implementation
  • Before-and-after implementation

Main finding

As reported in the abstract

Most likely event after difficult bag-mask ventilation: Cormack-Lehane grade ≥3

14.3%

95% CrI 11.4–17.2%

Further findings

OutcomeBeforeAfter
No consecutive event after a tracheal tube-related event43.3% (95% CrI 39.4–47.6%)56.4% (95% CrI 52.0–60.5%)
  • No consecutive event after a tracheal tube-related event: 95% credible interval

Original publication

Risk patterns of consecutive adverse events in airway management: a Bayesian network analysis. Br J Anaesth. Published 22 December 2022. doi:10.1016/j.bja.2022.11.007

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