@article{005ff23e7bd74074ad54fbed7c107aee,
title = "Unrecognised oesophageal intubation: time for action",
abstract = "Patients worldwide die every year from unrecognised oesophageal intubation, which is an avoidable complication of airway management usually resulting from human error. Unrecognised oesophageal intubation can occur in any patient of any age whenever intubation occurs regardless of the seniority or experience of the airway practitioner or others involved in the patient's airway management. The tragic fact is that it continues to happen despite improvements in monitoring, airway devices, and medical education. We review these improvements with strategies to eliminate this problem.",
keywords = "airway management, capnography, human factors, oesophageal intubation, tracheal intubation",
author = "Baker, {Paul A.} and O'Sullivan, {Ellen P.} and Aziz, {Michael F.}",
note = "Funding Information: Use of capnography by neonatal ICUs (NICUs) in the UK has been debated following concerns about insufficient evidence to support neonatal tracheal tube placement using capnography, auto-triggering of ventilators for neonates during capnography monitoring, accidental extubation caused by the weight of mainstream capnography monitoring, and increased deadspace caused by capnography.13 Regardless of these concerns, benefits have been shown using capnography in this population.14 Progress in capnograph design has also addressed many of these concerns with new lightweight (5 g) sidestream capnographs designed for neonatal patients that feature low deadspace (<1 ml) and reduced sample rates (50 ml min−1) to overcome many of the technical problems associated with older technology.15 This improved technology has been associated with increasing use of capnography in delivery rooms and neonatal intensive care.15 Equipment redesign might also reduce the risk of confusion over a capnography trace and ventilator waveforms.10 Publisher Copyright: {\textcopyright} 2022 British Journal of Anaesthesia",
year = "2022",
month = dec,
doi = "10.1016/j.bja.2022.08.027",
language = "English (US)",
volume = "129",
pages = "836--840",
journal = "British Journal of Anaesthesia",
issn = "0007-0912",
publisher = "Oxford University Press",
number = "6",
}