Anesthesia-related Cardiac Arrest

Ellis, Sheila J.; Newland, M. Christopher; Simonson, Jean A.; Peters, Kyle R.; Romberger, Debra J.; Mercer, David; Tinker, John H.; Harter, Ronald L.; Kindscher, James D.; Qiu, Fang; Lisco, Steven J.

doi:10.1097/aln.0000000000000153

Cited by 94 publications

(73 citation statements)

References 17 publications

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“…In a recent study in all age groups [22], the authors verified that 64% of anesthesia-related CAs were caused by airway complications. There were three cases of CA after the administration of neuroaxial anesthesia.…”

Section: Discussionmentioning

confidence: 93%

Intraoperative and Anesthesia-Related Cardiac Arrest and Its Mortality in Older Patients: A 15-Year Survey in a Tertiary Teaching Hospital

et al. 2014

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BackgroundLittle information is known about factors that influence perioperative and anesthesia-related cardiac arrest (CA) in older patients. This study evaluated the incidence, causes and outcome of intraoperative and anesthesia-related CA in older patients in a Brazilian teaching hospital between 1996 and 2010.MethodsDuring the study, older patients received 18,367 anesthetics. Data collected included patient characteristics, surgical procedures, American Society of Anesthesiologists (ASA) physical status, anesthesia type, medical specialty team and outcome. All CAs were categorized by cause into one of four groups: patient's disease/condition-related, surgery-related, totally anesthesia-related or partially anesthesia-related.ResultsAll intraoperative CAs and deaths rates are shown per 10,000 anesthetics. There were 100 CAs (54.44; 95% confidence intervals [CI]: 44.68–64.20) and 68 deaths (37.02; 95% CI: 27.56–46.48). The majority of CAs were patient's disease-/condition-related (43.5; 95% CI: 13.44–73.68). There were six anesthesia-related CAs (3.26; 95% CI: 0.65–5.87) - 1 totally and 5 partially anesthesia-related, and three deaths, all partially anesthesia-related (1.63; 95% CI: 0.0–3.47). ASA I-II physical status patients presented no anesthesia-related CA. Anesthesia-related CA, absent in the last five years of the study, was due to medication-/airway-related causes. ASA physical status was the most important predictor of CA (odds ratio: 14.52; 95% CI: 4.48–47.08; P<0.001) followed by emergency surgery (odds ratio: 8.07; 95% CI: 5.14–12.68; P<0.001).ConclusionsThe study identified high incidence of intraoperative CAs with high mortality in older patients. The large majority of CAs were caused by factors not anesthesia-related. Anesthesia-related CA and mortality rates were 3.26 and 1.63 per 10,000 anesthetics, with no anesthesia-related CA in the last five years of the study. Major predictors of intraoperative CAs were poorer ASA physical status and emergency surgery. All anesthesia-related CAs were medication-related or airway-related, which is important for prevention strategies.

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Section: Discussionmentioning

confidence: 93%

Intraoperative and Anesthesia-Related Cardiac Arrest and Its Mortality in Older Patients: A 15-Year Survey in a Tertiary Teaching Hospital

et al. 2014

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“…Retrospective analysis may lead to inaccuracies, unless the database was designed for the outcome measures sought. 32 Comparative analysis is hampered with the use of a case mix and institutional audit with a small sample size. 2,27,28,41 Collaborative, prospective collection through paediatric-specific databases facilitates the accurate calculation of incidence, the elucidation of causality and the development of neonatal and paediatric perioperative risk models.…”

Section: Data Sources and Their Limitationsmentioning

confidence: 99%

“…16 Definitions in which multiple categories apply are complex, and are more likely to be subjective. 32 It has been proposed that researchers should adopt uniform, consensus definitions. 8,23,27 It is the opinion of the author that simple, but inclusive definitions, are appropriate to research in the developing world.…”

Section: Introductionmentioning

confidence: 99%

A review of paediatric anaesthetic-related mortality, serious adverse events and critical incidents

Cronjé

2015

Southern African Journal of Anaesthesia and Analgesia

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Anaesthetists increasingly face questions from parents on the long-term outcomes of anaesthesia, and yet more immediate anaesthetic risks are not understood, nor explained to families. This review focused on paediatric anaesthetic-related mortality, cardiac arrest and anaesthetic-related serious adverse events and critical incidents during general anaesthesia, and within 24 hours of anaesthesia ending. Anaesthetic-related mortality is rare in the developed world, and is approximately 1 per 10 000 anaesthetics, but increases in high-risk children. Serious anaesthetic-related adverse events occur in 1.4 per 1 000 anaesthetics in the developed world. Data are lacking from the developing world but anaesthetic mortality is 2-3 times higher in middle-income countries and may be up to 100-fold greater in low-income countries. A critical incident occurs in 3-8% of anaesthetics and this figure is double that in low-income countries. Anaesthetic-related events are predominantly preventable. Brief recommendations on preventative strategies are made and research goals outlined.

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“…Por otra parte, el Grupo EPiCOR (Evidence-based Peri-operative Clinical Outcomes Research), realizó un metanálisis donde se evidencia como al pasar el tiempo, la incidencia de mortalidad conexa con la anestesia ha disminuido progresivamente (7) lo que puede estar relacionado con mejoras en la tecnología biomédica, en los procedimientos, desarrollo de medicamentos con mejor perfil de seguridad, y la implementación de diferentes guías a nivel mundial (8,9) , donde se mejora el manejo del paciente en las Unidades de Cuidados Post-Anestésicos (UCPA). Pese a lo anteriormente mencionado, se siguen presentando casos de mortalidad en las UCPA, como se documenta en un estudio que se realizó en EEUU, donde se tomó una base de datos de diez años y se analizaron los paros cardiacos perioperatorios relacionados con la anestesia (10) . En este estudio se encontraron 66 paros cardiacos relacionados con la anestesia, de los cuales el 100% de los casos de UCPA estuvieron relacionados con problemas de la vía aérea y con narcosis.…”

Section: Paro Cardiaco Y Anestesiaunclassified

CARDIAC ARREST IN A POSTOPERATIVE CARE UNIT. LITERATURE REVIEW OF PULMONARY PERIOPERATIVE CRITICAL SITUATIONS - Paro cardiaco en unidad de cuidado postoperatorio. Revisión de la literaturade situaciones críticas pulmonares preoperatorias.

Samaca¹,

Cogollo²,

Gamba³

et al. 2018

JOSHA

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Anesthesia-related Cardiac Arrest

Abstract: As judged by an independent study commission, anesthesia-related cardiac arrest occurred in 37 of 160 cardiac arrests within the 24-h perioperative period.

Cited by 94 publications

References 17 publications

Intraoperative and Anesthesia-Related Cardiac Arrest and Its Mortality in Older Patients: A 15-Year Survey in a Tertiary Teaching Hospital

Intraoperative and Anesthesia-Related Cardiac Arrest and Its Mortality in Older Patients: A 15-Year Survey in a Tertiary Teaching Hospital

A review of paediatric anaesthetic-related mortality, serious adverse events and critical incidents

CARDIAC ARREST IN A POSTOPERATIVE CARE UNIT. LITERATURE REVIEW OF PULMONARY PERIOPERATIVE CRITICAL SITUATIONS - Paro cardiaco en unidad de cuidado postoperatorio. Revisión de la literaturade situaciones críticas pulmonares preoperatorias.

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