Adult perioperative cardiac arrest: An overview of 684 cases reported to webAIRS.
| Autor: | Bright MR; Department of Anaesthesia, Princess Alexandra Hospital, Woolloongabba, Australia.; Faculty of Medicine, University of Queensland, St. Lucia, Australia., Endlich Y; Department of Anaesthesia, Royal Adelaide Hospital, Adelaide, Australia.; Faculty of Medicine, The University of Adelaide, Adelaide, Australia.; Australian and New Zealand Tripartite Anaesthesia Data Committee, Melbourne, Australia., King ZD; Department of Anaesthesia, Royal Brisbane & Women's Hospital, Herston, Australia., White LD; Department of Anaesthesia and Perioperative Medicine, Sunshine Coast Hospital and Health Service, Birtinya, Australia., Concha Blamey SI; Faculty of Medicine, University of Queensland, St. Lucia, Australia.; Department of Anaesthesia, Royal Brisbane & Women's Hospital, Herston, Australia., Culwick MD; Australian and New Zealand Tripartite Anaesthesia Data Committee, Melbourne, Australia. |
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| Jazyk: | angličtina |
| Zdroj: | Anaesthesia and intensive care [Anaesth Intensive Care] 2023 Nov; Vol. 51 (6), pp. 375-390. Date of Electronic Publication: 2023 Oct 06. |
| DOI: | 10.1177/0310057X231196912 |
| Abstrakt: | There were 684 perioperative cardiac arrests reported to webAIRS between September 2009 and March 2022. The majority involved patients older than 60 years, classified as American Society of Anesthesiologists Physical Status 3 to 5, undergoing an emergency or major procedure. The most common precipitants included airway events, cardiovascular events, massive blood loss. medication issues, and sepsis. The highest mortality rate was 54% of the 46 cases in the miscellaneous category (this included 34 cases of severe sepsis, which had a mortality of 65%). This was followed by cardiovascular precipitants ( n = 424) in which there were 147 deaths (35% mortality): these precipitants included blood loss (53%), embolism (61%) and myocardial infarction (70%). Airway and breathing events accounted for 25% and anaphylaxis 8%. A specialist anaesthetist attended the majority of these cardiac arrests. As webAIRS is a voluntary database, it is not possible to determine the incidence of perioperative cardiac arrest and only descriptive information on factors associated with cardiac arrest can be obtained. Nevertheless, the large number of reports includes a wide range of cases, precipitants, demographics and outcomes, providing ample opportunity to learn from these events. The data also provide rich scope for further research into further initiatives to prevent cardiac arrest in the perioperative period, and to improve outcomes, should a cardiac arrest occur. Competing Interests: Declaration of conflicting interestsThe authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. |
| Databáze: | MEDLINE |
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