After listening to the podcast there is an amendment that needs to be made.
This relates to the errors – syringe swap. What I meant to say was…
Routine practice is to prepare Rocuronium (100 mg) in a 10 ml syringe, and Ketamine (200 mg) in a 20 ml syringe. In one observed error, Rocuronium (200 mg) was prepared in a 20 ml syringe, and subsequently incorrectly labelled as Ketamine. This could have resulted in a neuromuscular drug being administered without prior anaesthesia, exposing the patient to harm. (Paul Swinton)