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Updated: Aug 6, 2026
Ultrasonographic Assessment During Cardiopulmonary Resuscitation
Published on: October 24, 2020
Audit of emergency preoperative resuscitation
B McIlroy1, A Miller, G P Copeland
1Department of Surgery, Warrington District General Hospital, UK.
Abstract:
A total of 148 patients of mean age 61 years with acute gastrointestinal disease who were assessed as requiring preoperative resuscitation were studied. Overall, the mortality rate was 14.2 per cent and the morbidity rate 50.7 per cent. Resuscitation was associated with a mean(s.e.m.) improvement in predicted mortality rate of 4.2(0.8) per cent and in morbidity rate of 4.3(0.7) per cent. However, there was a group of patients in whom resuscitation was unsuccessful, despite there being no apparent difference in duration or methods of resuscitation from those of the rest of the population studied. A poor response to resuscitation was found in 28 patients; this was commoner in the elderly (P < 0.001) and in women (P < 0.05). Complications were more frequent in patients failing to improve with resuscitation (P < 0.001). In the group deteriorating despite resuscitative (P < 0.001). In the a greater proportion of patients with a perforated viscus (P < 0.001), whereas intestinal obstruction was less common (P < 0.05). This study demonstrates that resuscitation can be audited and quantified. Preoperative resuscitation appears to be beneficial, but there is a group that may benefit from synchronous surgery and resuscitation.
Insights
Preoperative resuscitation for acute gastrointestinal disease improves outcomes for most patients. However, some individuals, particularly the elderly and women, may not respond well and require tailored interventions.
Area of Science:
- General Surgery
- Critical Care Medicine
Background:
- Acute gastrointestinal diseases often necessitate preoperative resuscitation.
- Assessing the efficacy and identifying predictors of resuscitation success is crucial.
Purpose of the Study:
- To evaluate the impact of preoperative resuscitation on mortality and morbidity in patients with acute gastrointestinal disease.
- To identify patient characteristics associated with poor resuscitation response.
Main Methods:
- A study of 148 patients with acute gastrointestinal disease requiring preoperative resuscitation.
- Analysis of mortality and morbidity rates before and after resuscitation.
- Identification of factors correlating with resuscitation outcomes.
Main Results:
- Overall mortality was 14.2% and morbidity 50.7%.
- Resuscitation improved predicted mortality by 4.2% and morbidity by 4.3%.
- Poor response to resuscitation occurred in 28 patients, more frequently in the elderly and women, and was linked to higher complication rates.
Conclusions:
- Preoperative resuscitation is auditable and quantifiable, demonstrating overall benefit.
- A subset of patients exhibits poor response, suggesting a need for individualized treatment strategies, potentially including synchronous surgery and resuscitation.
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