A retrospective analysis of causes of development of cardiac arrest during perioperative period in patients in Guangxi area
10.3760/cma.j.issn.0254-1416.2015.01.011
- VernacularTitle:广西地区患者围麻醉期心脏停搏发生原因的回顾性分析
- Author:
Zhongxuan MAO
;
Jingchen LIU
- Publication Type:Journal Article
- Keywords:
Heart arrest;
Intraoperative complications;
Retrospective studies
- From:
Chinese Journal of Anesthesiology
2015;35(1):33-35
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the causes of development of cardiac arrest during the perioperative period in 210 hospitals of Guangxi in 2010 using a questionnaire survey.Two hundred and ten questionnaires were provided,and the valid return rate was 63.3％ (133 copies).There were 64 cases developed cardiac arrest during the perioperative period in 414,676 anesthetized patients from 133 hospitals,and the incidence of cardiac arrest was 0.0154％.Among the patients who developed cardiac arrest,the constituent ratio of the patients who were cured was 25％ (16 cases),the patients who became vegetative state was 3％ (2 cases),and the patients who died was 72％ (46 cases).Among the patients who developed cardiac arrest,the constituent ratio of general anesthesia (77％) was higher than that of intrathecal anesthesia (23％).Among the inducements for cardiac arrest,patient's factor,surgical factor,anesthesia factor,patient-surgery-anesthesia factor and unknown factor accounted for 44％ (28 cases),14％ (9 cases),25％ (16 cases),12％ (8 cases) and 5％ (3 cases),respectively.The constituent ratios of the cured patients under patient's factor,surgical factor,anesthesia factor,patientsurgery-anesthesia factor and unknown factor accounted for 13％ (2 cases),6％ (1 cases),75％ (12 cases),6％ (1 cases) and 0,respectively.The constituent ratio of the cured patients under anesthesia factor was higher than that under the other factors.In conclusion,although cardiac arrest developed during the perioperative period was rare,it endangered the patient' s life.The preoperative severity of disease was the major consideration for patient's factor,and it was not only the main inducement,but also the risk factor for death.For anesthesia factor,the main inducements causing cardiac arrest were poor airway management and circulatory depression induced by anesthetics,so preoperative airway assessment and perioperative monitoring should be strengthened.It was difficult to predict cardiac arrest induced by surgical factor or emergency events during operation,and close monitoring was the key.
