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Open Book: Hypoxic cardiac arrest during attempted percutaneous tracheostomy

16th November, 2021

This report alerts providers of the risk of hypoxic cardiac arrest during percutaneous tracheostomy. The aim is to learn from the event and establish a standard operating procedure to prevent future similar events.

This report is relevant to those working in operating theatres, perioperative areas, and radiology departments. Please consider this report, and whether the suggested changes are relevant to your own systems.