KLİNİĞİMİZDE KARŞILAŞILAN PERİOPERATİF KARDİYAK ARREST OLGULARININ RETROSPEKTİF İNCELENMESİ

Öz

Amaç: Perioperatif dönemde görülen kardiyak arrest (KA) vakaları nadirdir, ancak daha ölümcül olabilir (1). Birincil amacımız, bu vakaların hangi cerrahi branşlara ait olduğunu ve nedenlerini belirlemektir. İkinci amacımız ise, arrest gelişme olasılığı yüksek vakaları erken tespit etmek ve arresti önlemektir. Yöntem: 01.01.2022-31.12.2024 tarihleri arasında perioperatif dönemde KA gelişen vakalar retrospektif olarak incelendi. Demografik veriler ve KA’ya neden olabilecek durumlar dosyalardan ve elektronik kayıtlardan incelenerek kaydedildi. Bulgular: 2022-2024 yılları arasında hastanemizin ameliyathanelerinde toplam 54.000 hasta ameliyat edildi. Bu vakaların sadece 12’sinde perioperatif KA tespit edildi. Vakaların dokuzu erkek, üçü kadındı. ASA 3-5 olan vakaların sekizi kardiyovasküler cerrahi, ikisi ortopedi ve ikisi genel cerrahi vakalarıydı. Vakaların tamamı acil cerrahi temelinde opere edildi. KA’nın nedenleri 7 damar yaralanması, 2 hipovolemi, 1 kardiyak ve 2 septik şoktu. Vakalardan sadece 1’i hayatta kaldı (%8,3). Sonuç: Perioperatif KA, hastaya, cerraha ve anesteziye bağlı olarak birçok farklı nedenden dolayı ortaya çıkabilir. KA’nın birçok farklı nedeni olmasına rağmen, KA ameliyathane ortamında erken teşhis edilir ve müdahale erken başlar. Ameliyathane personelinin arrest nedenlerini, tanı ve resüsitasyon algoritmalarını bilmesi mortalite oranlarını azaltacaktır.

Anahtar Kelimeler

• Perioperatif
• Kardiyak Arrest
• Mortalite Oranı

A RETROSPECTIVE ANALYSIS OF PERIOPERATIVE CARDIAC ARREST CASES ENCOUNTERED IN OUR CLINIC

Öz

Objective: Cardiac arrest (CA) cases seen in the perioperative period are rare but may be more mortal (1). Our primary goal is to determine the surgical specialties and causes of these cases. Our secondary goal is to identify cases with a high probability of developing cardiac arrest early and prevent it. Method: Cases that developed CA in the perioperative period between 01.01.2022 and 31.12.2024 were investigated retrospectively. Demographic data and conditions that could cause CA were investigated and noted from files and electronic records. Results: A total of 54,000 patients were operated on in our hospital’s operating rooms between 2022 and 2024. Perioperative CA was detected in only 12 of these cases. Nine of the cases were male, and three were female. Of the cases with ASA 3-5, eight were cardiovascular surgery, two were orthopedics, and two were general surgery. All the cases were operated on an emergency basis. The causes of CA were 7 vascular injury, 2 hypovolemia, 1 cardiac, and 2 septic shock. Only 1 of the cases survived (8.3%). Conclusions: Perioperative CA may occur for many reasons involving the patient, the surgeon, and anesthesia. Although there are many causes of CA, it is diagnosed early in the operating room environment, and intervention begins promptly. Knowledge of arrest causes, diagnosis, and resuscitation algorithms among operating room staff will reduce mortality rates.

Anahtar Kelimeler

• Perioperative
• Cardiac Arrest
• Mortality Rate

Kaynakça

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