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Research Article| Volume 46, ISSUE 6, P473-476, September 2008

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Retained throat packs: results of a national survey and the application of an organisational accident model

      Abstract

      Throat packs are commonly placed in the patient's pharynx before oral surgical procedures under general anaesthesia. The pack is thought to protect the airways from aspiration of surgical debris, but if it is retained after extubation it can obstruct the airway. Adverse incidents after retention of throat packs have been reported anecdotally, but to our knowledge the risk management practices undertaken and common events surrounding retention of throat packs, have not been published before. We investigated the management of throat packs in 2007, by sending a questionnaire to maxillofacial surgeons and anaesthetists in the UK. We discuss the results and apply them to an organisational accident model.

      Keywords

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      References

        • Crawford B.S.
        Prevention of retained throat pack (letter).
        BMJ. 1977; ii: 1029
        • Najjar M.F.
        • Kimpson J.
        A method for preventing throat pack retention (letter).
        Anesth Analg. 1995; 80: 208-209
        • Burden R.J.
        • Bliss A.
        Residual throat pack – a further method of prevention (letter).
        Anaesthesia. 1997; 52: 806
        • Green R.
        • Akester J.
        A combined oropharyngeal airway and dental pack.
        Anaesthesia. 1981; 36: 889-891
        • Vickery I.M.
        • Burton G.W.
        Throat packs for surgery. An improved design based on anatomical measurements.
        Anaesthesia. 1977; 32: 565-572
        • Scheck P.
        A pharyngeal pack fixed on to the tracheal tube.
        Anaesthesia. 1981; 36: 892-895
        • Fine J.
        • Kaltman S.
        • Bianco M.
        Prevention of sore throat after nasotracheal intubation.
        J Oral Maxillofac Surg. 1988; 46: 946-947
        • Griffiths D.P.G.
        • Lindop M.J.
        • Samuels S.I.
        • Roberts G.D.D.
        Pharyngeal packs and the incidence of post-operative sore throat.
        Anaesthesia. 1973; 28: 320-324
        • Reason J.
        Understanding adverse events: human factors.
        Qual Health Care. 1995; 4: 80-89
        • Dickson G.
        Principles of risk management.
        Qual Health Care. 1995; 4: 75-79
        • Bennett J.
        • Petito A.
        • Zandsberg S.
        Use of the laryngeal mask airway in oral and maxillofacial surgery.
        J Oral Maxillofacial Surg. 1996; 54: 1346-1351
        • Sari A.B.
        • Sheldon T.A.
        • Cracknell A.
        • Turnbull A.
        Sensitivity of routine system for reporting patient safety incidents in an NHS hospital: retrospective patient case note review.
        BMJ. 2007; 334: 79