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Neurological prognosis of 6 cases after chest compression during general anesthesia

Akiko Hirotsu^1,2, Yu Suizu³, Tsutomu Shichino³

¹Department of Anesthesia, Kyoto University Hospital, 54 Kawahara-Cho, Shogoin, Sakyo-ku, Kyoto, 606-8507, Japan. akiko162@kuhp.kyoto-u.ac.jp.

Journal of Anesthesia

|January 17, 2018

Abstract

Introduction:

Data on the outcomes after chest compression (CC) of patients who are under general anesthesia (GA) are limited. The present study aimed to evaluate the neurological outcomes in patients who received CC while under GA.

Methods:

The patients who received CC while under GA, between 2010 and 2015, in Kyoto Medical Center were surveyed retrospectively. The primary outcome was poor neurologic function or death, as defined by a cerebral performance category score (CPC) score of 3-5 on day 28.

Results:

Six patients received CC while under GA, and four patients had poor neurological outcomes with a CPC score of 4 or 5 on day 28. All these patients required emergency operation because of their primary disease.

Conclusion:

Even if the patients were monitored and immediately managed under GA, ineffective management of preoperative conditions tended to result in the poor neurological prognosis.

Keywords:

Chest compression General anesthesia Neurological prognosis

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