Current Practice and Opinions Regarding the Use of Oropharyngeal Throat Packs in the United Kingdom

Objective: The aim of this study was to establish the current practice and opinions regarding responsibilities when using OPTPs in the United Kingdom. Methods: A total of 330 anonymous questionnaires exploring the use, attitudes, opinions, and experiences of surgeons (n = 180) and anesthetists (n = 150) were disseminated. Results: The response rate was 82%. Just less than one-third of surgeons and just more than one-third of anesthetists rarely or never use OPTP. Just more than half of the surgeons responding were aware of 1 to 4 nonfatal adverse events. Two surgeons and 1 anesthetist were aware of 1 to 4 fatalities relating to a retained OPTP. There was a marked difference in opinions regarding OPTP removal and whose ultimate responsibility it is to remove. Conclusions: The use of the OPTP is not routine in the United Kingdom, and adverse incidents occasionally occur when used. It would also seem that, despite the recent publicity and advice documents during the last few years, theater teams may still be at variance with regard to related responsibilities. As such, although objective data emerge, we support a unified practice and policy at the Trust and national level that all teams should adhere to when appropriate.