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Perioperative Cardiac Arrest and Mortality

Year 2019, Volume: 2 Issue: 1, 5 - 10, 30.04.2019

Abstract

Perioperative
cardiac arrest and mortality are the most important complications of
anesthesia, surgery and all invasive procedures. A decrease in the incidence of
perioperative mortality is observed in the course of years. This decline was
evident in developed countries but not statistically significant in developing
countries. The most risky age group in terms of perioperative mortality was the
newborn, children under one year of age and geriatric patients.
Anesthesia-related cardiac arrest is mostly due to airway problems and
secondary reasons for anesthetic drugs. The aim of this review is to
investigate the change pattern of perioperative and anesthesia induced cardiac
arrests and mortality over the years and to evaluate the risk factors.

References

  • 1. Finks JF, Osborne NH, Birkmeyer JD. Trends in hospital volume and operative mortality for high-risk surgery. N Engl J Med 2011;364: 2128–37.
  • 2. Beecher HK, Todd DP. A study of the deaths associated with anesthesia and surgery:based on a study of 599,548 anesthesias in ten institutions 1948–1952, inclusive. Ann Surg 1954;140:32–5.
  • 3. Lagasse RS. Anesthesia safety: model or myth? A review of the published literature and analysis of current original data. Anesthesiology 2002;97:1609–17.
  • 4. Newland MC, Ellis SJ, Lydiatt CA, et al. Anesthetic-related cardiac arrest and its mortality: a report covering 72,959 anesthetics over 10 years from a US teaching hospital. Anesthesiology 2002;97:108–15.
  • 5. Holland R. Anesthetic mortality in New South Wales. Br J Anaesth 1987;59:834–41.
  • 6. Keenan RL, Boyan CP. Cardiac arrest due to anesthesia. A study of incidence and causes. JAMA 1985;253:2373–7.
  • 7. Olsson GL, Hallén B. Cardiac arrest during anesthesia. A computer-aided study in 250,543 anesthetics. Acta Anaesthesiol Scand 1988;32:653–64.
  • 8. Aubas S, Biboulet P, Daures JP, et al. Incidence and etiology of cardiac arrest occurring during the peroperative period and in the recovery room. Apropos of 102,468 anesthesia cases. Ann Fr Anesth Reanim 1991;10:436–42.
  • 9. Cohen MM, Duncan PG, Pope WDB, et al. A survey of 112,000 anesthetics at one teaching hospital (1975–83). Can Anaesth Soc J 1986;33:22–31.
  • 10. Richard L, Keenan CPB. Decreasing frequency of anesthetic cardiac arrests. J Clin Anesth 1991;3:354–7.
  • 11. Sprung J, Warner ME, Contreras MG, et al. Predictors of survival following cardiac arrest in patients undergoing noncardiac surgery: a study of 518,294 patients at a tertiary referral center. Anesthesiology 2003;99:259–69.
  • 12. Goswami S, Brady JE, Jordan DA, et al. Intraoperative cardiac arrests in adults undergoing noncardiac surgery: incidence, risk factors, and survival outcome. Anesthesiology 2002;117:1018–26.
  • 13. Catré D, Lopes MF, Viana JS, et al. Perioperative morbidity and mortality in the first year of life: a systematic review (1997–2012). Rev Bras Anestesiol 2015;65:384–94.
  • 14. Morray JP, Geiduschek JM, Ramamoorthy C, et al. Anesthesia-related cardiac arrest in children: initial findings of the pediatric perioperative cardiac arrest (POCA). Reg Anesth 2000;93:6–14.
  • 15. Katz R, Lagasse R. Factors influencing the reporting of adverse outcomes to a quality management program. Anesth Analg 2000;90:344–50.
  • 16. Braz LG, Modolo NS, do Nascimento Jr P, et al. Perioperativecardiac arrest: a study of 53,718 anaesthetics over 9 yr from a Brazilian teaching hospital. Br J Anaesth. 2006;96:569-75.
  • 17. Chu KM, Ford N, Trelles M. Operative mortality in resource-limited settings: the experience of Medecins Sans Frontieres in 13 countries. Arch Surg 2010; 145: 721–25.
  • 18. McIntyre T, Zenilman ME. Globalization of surgery: let’s get serious. Arch Surg 2010; 145: 715–6.
  • 19. Gaba DM. Anesthesiology as a model for patient safety in health care. BMJ 2000;320:785-8.
  • 20. Cooper JB, Gaba D. No myth: anesthesia is a model for addressing patient safety. Anesthesiology. 2002;97:1335-7.
  • 21. Lagasse RS: Apples and oranges: The fruits of labor in anesthesia care. Anesthes iology 2003; 99:248–50.
  • 22. Bishop MJ, Souders JE, Peterson CM, et al. Factors associated with unanticipated day of surgery deaths in Department of Veterans Affairs hospitals. Anesth Analg 2008; 107:1924–35.
  • 23. Braz LG, Braz DG, Cruz DS, et al. Mortality in anesthesia: a systematic review. Clinics (Sao Paulo). 2009;64(10):999-1006.
  • 24. Bainbridge D, Martin J, Arango M, et al. Evidence-based Peri-operative Clinical Outcomes Research (EPiCOR) Group. Perioperative and anaesthetic-related mortality in developed and developing countries: a systematic review and meta-analysis. Lancet. 2012 Sep 22;380(9847):1075-81.
  • 25. Ellis SJ, Newland MC, Simonson JA, et al. Anesthesia-related cardiac arrest. Anesthesiology. 2014 Apr;120(4):829-38.
  • 26. Sobreira-Fernandes D, Teixeira L, Lemos TS, et al. Perioperative cardiac arrests - A subanalysis of the anesthesia -related cardiacarrests and associated mortality. J Clin Anesth. 2018 Nov;50:78-90.
  • 27. Morita K, Kawashima Y, Irita K, et al. Perioperative mortality and morbidity in 1999 with a special reference to age in 466 certified training hospitals of Japanese Society of Anesthesiologists–report of Committee on Operating Room Safety of Japanese Society of Anesthesiologists. Masui. 2001;50(8):909-21.
  • 28. Morita K, Kawashima Y, Irita K, et al. Perioperative mortality and morbidity in the year 2000 in 520 certified training hospitals of Japanese Society of Anesthesiologists: with a special reference to age–report of Japanese Society of Anesthesiologists Committee on Operating Room Safety. Masui. 2002;51(11):1285-96.
  • 29. Flick RP, Sprung J, Harrison TE, et al. Perioperative cardiac arrests in children between 1988 and 2005 at a tertiary referral center: a study of 92,881 patients. Anesthesiology. 2007;106(2):226-37.
  • 30. Bharti N, Batra YK, Kaur H. Paediatric perioperative cardiac arrest and its mortality: database of a 60-month period from a tertiary care paediatric centre. Eur J Anaesthesiol. 2009;26(6):490-5.
  • 31. van der Griend BF, Lister NA, McKenzie IM, et al. Postoperative mortality in children after 101,885 anesthetics at a tertiary pediatric hospital. Anesth Analg. 2011;112(6):1440-7.
  • 32. Biboulet P, Aubas P, Dubourdieu J, et al. Fatal and non fatal cardiac arrests related to anesthesia. Can J Anaesth. 2001;48(4):326-32.
  • 33. Murat I, Constant I, Maud’huy H. Perioperative anaesthetic morbidity in children: a database of 24,165 anaesthetics over a 30-month period. Paediatr Anaesth. 2004;14(2):158-66.
  • 34. Bunchungmongkol N, Punjasawadwong Y, Chumpathong S, et al. Anesthesia-related cardiac arrest in children: the Thai Anesthesia Incidents Study (THAI Study). J Med Assoc Thai. 2009;92(4):523-30.
  • 35. TayCL, TanGM,Ng SB.Critical incidents in paediatric anaesthesia: an audit of 10 000 anaesthetics in Singapore. Paediatr Anaesth. 2001;11(6):711-8.
  • 36. Ahmed A, Ali M, Khan M, et al. Perioperative cardiac arrests in children at a university teaching hospital of a developing country over 15 years. Paediatr Anaesth. 2009;19(6):581-6.
  • 37. Gonzalez LP, Pignaton W, Kusano PS, et al. Anesthesia-related mortality in pediatric patients: a systematic review. Clinics (Sao Paulo). 2012;67(4):381-7.
  • 38. Tiret L, Nivoche Y, Hatton F, et al. Complications related to anaesthesia in infants and children. A prospective survey of 40240 anaesthetics. Br J Anaesth. 1988;61(3):263-9.
  • 39. Braz LG, Braz JR, Mo´dolo NS, et al. Perioperative cardiac arrest and its mortality in children. A 9-year survey in a Brazilian tertiary teaching hospital. Paediatr Anaesth. 2006;16(8):860-6.
  • 40. Bhananker SM, Ramamoorthy C, Geiduschek JM, et al. Anesthesia-related cardiac arrest in children: update from the Pediatric Perioperative Cardiac Arrest Registry. Anesth Analg. 2007;105(2):344-50.
  • 41. Ward SA, Parikh S, Workman B.Health perspectives: international epidemiology of ageing. Best Pract Res Clin Anaesthesiol 2011;25:305–17.
  • 42. Nunes JC, Braz JR, Oliveira TS, et al. Intraoperative and anesthesia-related cardiac arrest and its mortality in olderpatients: a 15-year survey in a tertiary teaching hospital. PLoS One. 2014 Aug 12;9(8):e104041.
  • 43. Rodanant O, Hintong T, Chua-in W, et al. The Thai anesthesia incidents study (THAI Study) of perioperative death in geriatric patients. J Med Assoc Thai 2007;90:1375–81.
  • 44. Story DA, Leslie K, Myles PS. Complications and mortality in older surgical patients in Australia and New Zealand (the REASON study): a multicentre, prospective, observational study. Anaesthesia. 2010;65(10):1022-30.

Perioperatif Kardiyak Arrest ve Mortalite

Year 2019, Volume: 2 Issue: 1, 5 - 10, 30.04.2019

Abstract

Perioperatif
kardiyak arrest ve mortalite anestezi, cerrahi ve tüm invaziv proseürlerin en
önemli komplikasyonudur. Perioperatif mortalite insidansının yıllar içinde
değişimi izlendiğinde düşüş seyri gözlenmektedir. Bu düşüş gelişmiş ülkelerde belirginken
gelişmekte olan ülkelerde istatistiksel anlamlı bir düşüş saptanmamıştır.
Perioperatif mortalite açısından en riskli yaş grubu yenidoğan, bir yaş altı çocuklar
ve geriatrik hastalardır. Anesteziye bağlı kardiyak arrest ise çoğunlukla hava
yolu problemleri ve anestezik ilaçlara sekonder nedenlerle olmaktadır. Bu
derleme ile amaçlanan perioperatif ve anesteziye bağlı kardiyak arrest ve
mortalitenin yıllar içinde değişimini irdelemek ve risk faktörlerinin göz önüne
koymaktır. 

References

  • 1. Finks JF, Osborne NH, Birkmeyer JD. Trends in hospital volume and operative mortality for high-risk surgery. N Engl J Med 2011;364: 2128–37.
  • 2. Beecher HK, Todd DP. A study of the deaths associated with anesthesia and surgery:based on a study of 599,548 anesthesias in ten institutions 1948–1952, inclusive. Ann Surg 1954;140:32–5.
  • 3. Lagasse RS. Anesthesia safety: model or myth? A review of the published literature and analysis of current original data. Anesthesiology 2002;97:1609–17.
  • 4. Newland MC, Ellis SJ, Lydiatt CA, et al. Anesthetic-related cardiac arrest and its mortality: a report covering 72,959 anesthetics over 10 years from a US teaching hospital. Anesthesiology 2002;97:108–15.
  • 5. Holland R. Anesthetic mortality in New South Wales. Br J Anaesth 1987;59:834–41.
  • 6. Keenan RL, Boyan CP. Cardiac arrest due to anesthesia. A study of incidence and causes. JAMA 1985;253:2373–7.
  • 7. Olsson GL, Hallén B. Cardiac arrest during anesthesia. A computer-aided study in 250,543 anesthetics. Acta Anaesthesiol Scand 1988;32:653–64.
  • 8. Aubas S, Biboulet P, Daures JP, et al. Incidence and etiology of cardiac arrest occurring during the peroperative period and in the recovery room. Apropos of 102,468 anesthesia cases. Ann Fr Anesth Reanim 1991;10:436–42.
  • 9. Cohen MM, Duncan PG, Pope WDB, et al. A survey of 112,000 anesthetics at one teaching hospital (1975–83). Can Anaesth Soc J 1986;33:22–31.
  • 10. Richard L, Keenan CPB. Decreasing frequency of anesthetic cardiac arrests. J Clin Anesth 1991;3:354–7.
  • 11. Sprung J, Warner ME, Contreras MG, et al. Predictors of survival following cardiac arrest in patients undergoing noncardiac surgery: a study of 518,294 patients at a tertiary referral center. Anesthesiology 2003;99:259–69.
  • 12. Goswami S, Brady JE, Jordan DA, et al. Intraoperative cardiac arrests in adults undergoing noncardiac surgery: incidence, risk factors, and survival outcome. Anesthesiology 2002;117:1018–26.
  • 13. Catré D, Lopes MF, Viana JS, et al. Perioperative morbidity and mortality in the first year of life: a systematic review (1997–2012). Rev Bras Anestesiol 2015;65:384–94.
  • 14. Morray JP, Geiduschek JM, Ramamoorthy C, et al. Anesthesia-related cardiac arrest in children: initial findings of the pediatric perioperative cardiac arrest (POCA). Reg Anesth 2000;93:6–14.
  • 15. Katz R, Lagasse R. Factors influencing the reporting of adverse outcomes to a quality management program. Anesth Analg 2000;90:344–50.
  • 16. Braz LG, Modolo NS, do Nascimento Jr P, et al. Perioperativecardiac arrest: a study of 53,718 anaesthetics over 9 yr from a Brazilian teaching hospital. Br J Anaesth. 2006;96:569-75.
  • 17. Chu KM, Ford N, Trelles M. Operative mortality in resource-limited settings: the experience of Medecins Sans Frontieres in 13 countries. Arch Surg 2010; 145: 721–25.
  • 18. McIntyre T, Zenilman ME. Globalization of surgery: let’s get serious. Arch Surg 2010; 145: 715–6.
  • 19. Gaba DM. Anesthesiology as a model for patient safety in health care. BMJ 2000;320:785-8.
  • 20. Cooper JB, Gaba D. No myth: anesthesia is a model for addressing patient safety. Anesthesiology. 2002;97:1335-7.
  • 21. Lagasse RS: Apples and oranges: The fruits of labor in anesthesia care. Anesthes iology 2003; 99:248–50.
  • 22. Bishop MJ, Souders JE, Peterson CM, et al. Factors associated with unanticipated day of surgery deaths in Department of Veterans Affairs hospitals. Anesth Analg 2008; 107:1924–35.
  • 23. Braz LG, Braz DG, Cruz DS, et al. Mortality in anesthesia: a systematic review. Clinics (Sao Paulo). 2009;64(10):999-1006.
  • 24. Bainbridge D, Martin J, Arango M, et al. Evidence-based Peri-operative Clinical Outcomes Research (EPiCOR) Group. Perioperative and anaesthetic-related mortality in developed and developing countries: a systematic review and meta-analysis. Lancet. 2012 Sep 22;380(9847):1075-81.
  • 25. Ellis SJ, Newland MC, Simonson JA, et al. Anesthesia-related cardiac arrest. Anesthesiology. 2014 Apr;120(4):829-38.
  • 26. Sobreira-Fernandes D, Teixeira L, Lemos TS, et al. Perioperative cardiac arrests - A subanalysis of the anesthesia -related cardiacarrests and associated mortality. J Clin Anesth. 2018 Nov;50:78-90.
  • 27. Morita K, Kawashima Y, Irita K, et al. Perioperative mortality and morbidity in 1999 with a special reference to age in 466 certified training hospitals of Japanese Society of Anesthesiologists–report of Committee on Operating Room Safety of Japanese Society of Anesthesiologists. Masui. 2001;50(8):909-21.
  • 28. Morita K, Kawashima Y, Irita K, et al. Perioperative mortality and morbidity in the year 2000 in 520 certified training hospitals of Japanese Society of Anesthesiologists: with a special reference to age–report of Japanese Society of Anesthesiologists Committee on Operating Room Safety. Masui. 2002;51(11):1285-96.
  • 29. Flick RP, Sprung J, Harrison TE, et al. Perioperative cardiac arrests in children between 1988 and 2005 at a tertiary referral center: a study of 92,881 patients. Anesthesiology. 2007;106(2):226-37.
  • 30. Bharti N, Batra YK, Kaur H. Paediatric perioperative cardiac arrest and its mortality: database of a 60-month period from a tertiary care paediatric centre. Eur J Anaesthesiol. 2009;26(6):490-5.
  • 31. van der Griend BF, Lister NA, McKenzie IM, et al. Postoperative mortality in children after 101,885 anesthetics at a tertiary pediatric hospital. Anesth Analg. 2011;112(6):1440-7.
  • 32. Biboulet P, Aubas P, Dubourdieu J, et al. Fatal and non fatal cardiac arrests related to anesthesia. Can J Anaesth. 2001;48(4):326-32.
  • 33. Murat I, Constant I, Maud’huy H. Perioperative anaesthetic morbidity in children: a database of 24,165 anaesthetics over a 30-month period. Paediatr Anaesth. 2004;14(2):158-66.
  • 34. Bunchungmongkol N, Punjasawadwong Y, Chumpathong S, et al. Anesthesia-related cardiac arrest in children: the Thai Anesthesia Incidents Study (THAI Study). J Med Assoc Thai. 2009;92(4):523-30.
  • 35. TayCL, TanGM,Ng SB.Critical incidents in paediatric anaesthesia: an audit of 10 000 anaesthetics in Singapore. Paediatr Anaesth. 2001;11(6):711-8.
  • 36. Ahmed A, Ali M, Khan M, et al. Perioperative cardiac arrests in children at a university teaching hospital of a developing country over 15 years. Paediatr Anaesth. 2009;19(6):581-6.
  • 37. Gonzalez LP, Pignaton W, Kusano PS, et al. Anesthesia-related mortality in pediatric patients: a systematic review. Clinics (Sao Paulo). 2012;67(4):381-7.
  • 38. Tiret L, Nivoche Y, Hatton F, et al. Complications related to anaesthesia in infants and children. A prospective survey of 40240 anaesthetics. Br J Anaesth. 1988;61(3):263-9.
  • 39. Braz LG, Braz JR, Mo´dolo NS, et al. Perioperative cardiac arrest and its mortality in children. A 9-year survey in a Brazilian tertiary teaching hospital. Paediatr Anaesth. 2006;16(8):860-6.
  • 40. Bhananker SM, Ramamoorthy C, Geiduschek JM, et al. Anesthesia-related cardiac arrest in children: update from the Pediatric Perioperative Cardiac Arrest Registry. Anesth Analg. 2007;105(2):344-50.
  • 41. Ward SA, Parikh S, Workman B.Health perspectives: international epidemiology of ageing. Best Pract Res Clin Anaesthesiol 2011;25:305–17.
  • 42. Nunes JC, Braz JR, Oliveira TS, et al. Intraoperative and anesthesia-related cardiac arrest and its mortality in olderpatients: a 15-year survey in a tertiary teaching hospital. PLoS One. 2014 Aug 12;9(8):e104041.
  • 43. Rodanant O, Hintong T, Chua-in W, et al. The Thai anesthesia incidents study (THAI Study) of perioperative death in geriatric patients. J Med Assoc Thai 2007;90:1375–81.
  • 44. Story DA, Leslie K, Myles PS. Complications and mortality in older surgical patients in Australia and New Zealand (the REASON study): a multicentre, prospective, observational study. Anaesthesia. 2010;65(10):1022-30.
There are 44 citations in total.

Details

Primary Language Turkish
Subjects Anaesthesiology
Journal Section Reviews
Authors

Özge Turgay Yıldırım 0000-0002-6731-4958

Ayşegül Turgay

Özlem Aksoy

Demet Laflı Tunay

Publication Date April 30, 2019
Acceptance Date April 22, 2019
Published in Issue Year 2019 Volume: 2 Issue: 1

Cite

APA Turgay Yıldırım, Ö., Turgay, A., Aksoy, Ö., Laflı Tunay, D. (2019). Perioperatif Kardiyak Arrest ve Mortalite. Journal of Cukurova Anesthesia and Surgical Sciences, 2(1), 5-10.

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