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Recording Brain Electromagnetic Activity During the Administration of the Gaseous Anesthetic Agents Xenon and Nitrous Oxide in Healthy Volunteers

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PERCEPTION OF NIGERIAN ANAESTHETISTS ON INTRA-OPERATIVE DEATH.

S O A Olateju¹, A T Adenekan, B B Osinaike

¹Department of Anaesthesia, College of Health Sciences, Obafemi Awolowo University, Ile-Ife, Nigeria.

East African Medical Journal

|February 9, 2016

Summary

Intra-operative deaths are concerning in anesthesia. Most Nigerian anesthesiologists believe these deaths are avoidable and recommend stopping surgery for involved staff, emphasizing preventive measures.

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Area of Science:

Anesthesiology
Medical Safety
Healthcare Management

Background:

Intra-operative death is a rare but serious complication in anesthesia.
Understanding the causes and perceptions surrounding these events is crucial for improving patient safety.

Purpose of the Study:

To investigate the causes, effects, and perceptions of intra-operative deaths among Nigerian anesthesiologists.
To identify contributing factors and inform strategies for prevention and management.

Main Methods:

A cross-sectional, questionnaire-based study was conducted.
Data were collected from 105 anesthesiologists (72.9% response rate) across five university teaching hospitals in South-Western Nigeria.
Participants included nurse anesthetists, resident doctors, and consultant anesthesiologists.

Main Results:

73.3% of respondents had experienced intra-operative deaths, often with extensive experience (p=0.0001).
68.8% believed deaths were avoidable, predominantly during emergency surgeries (96.1%).
55.8% experienced psychological distress; 53.3% supported pausing surgery for involved anesthesiologists, and 57.1% favored mortality meeting discussions.

Conclusions:

Most anesthesiologists advocate for a temporary cessation of surgical duties for those involved in intra-operative deaths.
Implementing robust preventive measures and clear institutional policies for managing such events is essential.