{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T12:32:51Z","timestamp":1787315571324,"version":"build-2736575974"},"reference-count":27,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"12","license":[{"start":{"date-parts":[[2025,11,19]],"date-time":"2025-11-19T00:00:00Z","timestamp":1763510400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:sec>\n                    <jats:title>Background and Aims:<\/jats:title>\n                    <jats:p>Physical injuries during anaesthesia, while seemingly minor compared to other complications, can cause significant patient suffering and medico-legal consequences. This study aimed to determine the incidence and risk factors of physical injuries during anaesthesia in a large tertiary hospital to identify areas for improvement in patient safety.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      A retrospective analysis of prospectively collected data in a high-volume tertiary hospital performing 25,000 surgeries annually was conducted from 2014-2019. All physical injury incidents during anaesthesia were categorised into six groups: airway injuries, eye injuries, non-regional nerve injuries, regional nerve injuries, pressure injuries, and vascular injuries. Risk factors and outcomes were analysed using Chi-square tests, with\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.05 considered significant.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Among 161,645 anaesthetics, 246 physical injuries were reported (0.15% incidence). Pressure injuries were most common (36%), followed by airway injuries (35%), nerve injuries (14%), vascular injuries (12%), and eye injuries (3%). Physical injuries were twice as likely in patients with American Society of Anaesthesiologists Physical Status (ASA PS) \u22653 (0.28% vs 0.11%,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001) and four times more likely during after-hours procedures (0.53% vs 0.13%,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001). Overall, 60.3% required specialist review, 12.9% had temporary disabilities, and 0.73% had permanent disabilities. 31% of injuries were deemed preventable.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Physical injuries during anaesthesia occur in 15 per 10,000 cases, with higher ASA PS and after-hours procedures being significant risk factors. These findings support implementing enhanced protective protocols for high-risk patients and procedures to improve perioperative safety.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ija.ija_977_25","type":"journal-article","created":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T16:00:30Z","timestamp":1763481630000},"page":"1404-1412","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Physical injuries during anaesthesia: A retrospective study during 6 years at a single institution"],"prefix":"10.4103","volume":"69","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6870-2661","authenticated-orcid":false,"given":"Eunice Jie Yi","family":"Kok","sequence":"first","affiliation":[{"name":"Department of Anaesthesiology, Singapore General Hospital, 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