What’s In The Syringe?

The first part of my talk will review a recent case of unintended awake paralysis that occurred at Torbay this year.

I will consider the human factors contributing to the error and possible means of reducing the chances of a repetition.

Unintended awake paralysis is now just as frequent as the more widely publicised AAGA accidental awareness under general anaesthesia.

I will review the National Audit Project’s findings and recommendations to try to minimise this risk.

If time allows I will consider the related drug error swap of TXA and spinal bupivacaine, as the consequences are devastating and the underlying causes similar.