Description of Event or Problem · 1
DURING A TOTAL THYROIDECTOMY AND CENTRAL COMPARTMENT NECK DISSECTION WITH NERVE REPAIR THE NERVANA MACHINE DIDN'T ALERT WHEN STIMULATING THE NERVE, CONNECTIONS CHECK AND IN PLACE - ET TUBE CHANGED AND REPOSITIONED BY THE ANESTHESIOLOGIST. AT THE BEGINNING OF THE CASE, THE NERVANA TUBE WAS PLACED UNEVENTFULLY, APPEARED TO RESPOND NORMALLY, MORE THAN HALFWAY THRU THE CASE A SMALL LEAK WAS NOTED IN THE ETT BALLOON, RE-INFLATED 3-4 TIMES BY LIFTITNG DRAPE, AFFIRMING POSITION, AND RETAPING. DURING THE CASE, THE PATIENT DID REQUIRE REINTUBATION, SAME TUBE REPLACED, RE-TAPED. SMALL LEAK STILL NOTED, NO TROUBLE VENTILATING AND OXYGEN SATS 90'S - 100% THE SURGEON DID NOTE "NERVE INJURY" REPAIRED SURGICALLY AT THE TIME. THE NERVANA TUBE WAS NO LONGER WORKING, A SMALL HOLE WAS NOTED IN THE EET NEAR DISTAL END, THE MACHINE WAS TAKEN TO BIOMED INSPECTED THE UNIT DID NOT DETERMINE MALFUNCTION OF THE MACHINE.