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Background <p>Adequate facemask ventilation during induction of anaesthesia is a key aspect of patient safety. Difficulties can therefore be life-threatening for the patient.</p> Case presentation <p>The case presented here illustrates a rare cause of an orbital fistula that led to a serious problem during facemask ventilation and demonstrates why team communication is so important.</p> Conclusions <p>Preparatory errors in patient assessment and anaesthetic preparation were identified as sources of error.</p>

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Orbital fistula tract - a case report of a rare cause of impossible facemask ventilation

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年3月12日

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  • Christian Volberg,
  • Kuo-Min Kwee,
  • David Sun,
  • Hinnerk Wulf

摘要

Background

Adequate facemask ventilation during induction of anaesthesia is a key aspect of patient safety. Difficulties can therefore be life-threatening for the patient.

Case presentation

The case presented here illustrates a rare cause of an orbital fistula that led to a serious problem during facemask ventilation and demonstrates why team communication is so important.

Conclusions

Preparatory errors in patient assessment and anaesthetic preparation were identified as sources of error.