CASES
OF UNRECOGNISED OESOPHAGEAL INTUBATION
The following are actual cases of unrecognised oesophageal intubation, the details of which are publicly available. Links are provided to the source material. These cases are provided to enhance airway practitioners’ understanding of how such events occur and the importance of adopting the strategies advocated to prevent them. The intent of highlighting these cases is to highlight common themes and foster appreciation of how any airway practitioner might become vulnerable to taking similar actions in situations of stress, not to invite criticism of the individuals involved. We extend our sympathy to the family and friends of the patients harmed in these tragic incidents.
If you are aware of other publicly available cases of unrecognised oesophageal intubation that can be added to this catalogue, please contact us with a link to the published details of the case. Please do not submit cases if the details are only available to you via privileged communication.