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Anesthesia-related cardiac arrest.

Sheila J Ellis1, Myrna C Newland, Jean A Simonson

  • 1From the Department of Anesthesiology, University of Nebraska Medical Center, Omaha, Nebraska (S.J.E., M.C.N., J.A.S., K.R.P., J.H.T., S.J.L.); Veterans Affairs Nebraska Western-Iowa Healthcare System, and Department of Internal Medicine, University of Nebraska Medical Center, Omaha, Nebraska (D.J.R.); Department of Surgery, University of Nebraska Medical Center, Omaha, Nebraska (D.W.M.); Department of Anesthesiology, The Ohio State University Wexner Medical Center, Columbus, Ohio (R.L.H.); Department of Anesthesiology, University of Kansas Medical Center, Kansas City, Kansas (J.D.K.); and Department of Biostatistics, College of Public Health, University of Nebraska Medical Center, Omaha, Nebraska (F.Q.).

Anesthesiology
|February 6, 2014
PubMed
Summary
This summary is machine-generated.

Anesthesia-related cardiac arrest is rare but serious, with an incidence of 0.6 per 10,000 anesthetics for anesthesia-attributable events. Airway complications were the primary cause of anesthesia-attributable cardiac arrests, highlighting critical care needs.

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Area of Science:

  • Anesthesiology
  • Critical Care Medicine
  • Patient Safety

Background:

  • The precise incidence of anesthesia-related cardiac arrest in the United States remains incompletely understood.
  • Perioperative cardiac arrest poses a significant risk, necessitating accurate incidence data.

Purpose of the Study:

  • To estimate the incidence of anesthesia-attributable and anesthesia-contributory cardiac arrests.
  • To identify the causes and outcomes of anesthesia-related cardiac arrests.

Main Methods:

  • A review of 160 perioperative cardiac arrests within 24 hours of surgery was conducted.
  • An independent commission evaluated cases from an anesthesia database (1999-2009) to determine anesthesia's role.

Main Results:

  • Anesthesia-attributable cardiac arrest incidence was 0.6 per 10,000 anesthetics (14 cases).
  • Anesthesia-contributory cardiac arrest incidence was 1.1 per 10,000 anesthetics (23 cases).
  • Airway complications caused 64% of anesthesia-attributable arrests, with 29% mortality; contributory arrests had 70% mortality.

Conclusions:

  • Anesthesia was implicated in 37 of 160 perioperative cardiac arrests.
  • Findings underscore the importance of vigilance in anesthesia care, particularly regarding airway management.