The Royal College of Anaesthetists confirms that the lack of a cheap and simple breathing monitor on NHS intensive care wards is causing unnecessary patient deaths.

A capnograph, an instrument used to detect changes in carbon dioxide concentrations in patients, may reduce more than 70% of breathing related deaths on UK intensive care wards.

The majority of operating theatres already use this device, but only a quarter of UK intensive care units are using it, according to a report.

Out of 184 reports of all airway complications recorded between 2008 and 2009, 38 resulted in a death – 18 of which occurred on intensive care units, four in emergency departments, and 16 while under general anaesthetic in the operating theatre.

Patients at highest risk of breathing problems are those with health problems such as obesity.  The report confirmed that obese patients had double the risk of airway problems when they needed a general anaesthetic compared with non-obese patients.

The Royal College of Anaesthetists' report recommends that a capnograph is used for all patients receiving help with breathing on intensive care units, as greater use of this device will save lives. Apparently, capnographs cost only a small amount, and some training of nurses and doctors unfamiliar with the device will be required.

Medical negligence solicitor Montse Gil Rivas said: "It's worrying that NHS trusts are failing to use these devices, potentially putting patients' lives at risk. The public would hope that NHS trusts and staff will take note of the recommendations and take any necessary action to ensure high quality, safe patient care.

Patient care is so important, and sadly we in the medical negligence  team see the other side of the case, when something has gone wrong."

If you've any concerns, or if you think you may have suffered an injury as a result of poor treatment or a failure to use appropriate medical equipment, please call our legal helpline on 03700 86 8788.

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