Perioperative cardiac arrest in 457,529 anesthetized patients at a single teaching hospital in Korea: a retrospective study.
- Author:
Yoon Ji CHOI
1
;
Seon Uk HAN
;
Seunghoon WOO
;
Young Jin RO
;
Hong Seuk YANG
Author Information
1. Department of Anesthesiology and Pain Medicine, Seoul Paik Hospital, College of Medicine, Inje University, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Anesthesia;
Cardiac arrest;
Resuscitation
- MeSH:
Adult;
Airway Management;
Anesthesia;
Anesthetics;
Classification;
Emergencies;
Heart Arrest*;
Hospitals, Teaching*;
Humans;
Incidence;
Korea;
Mortality;
Resuscitation;
Retrospective Studies*;
Survival Rate
- From:Anesthesia and Pain Medicine
2014;9(2):144-151
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: This study provides up-to-date survival data on cardiac resuscitation in adult in-patients. The main objectives of the study were to evaluate the incidence, causes, and outcomes of perioperative cardiac arrest. Objective data might encourage more meaningful attitude in anesthesiologists, surgeons, and patients. METHODS: We retrospectively reviewed patients who experienced perioperative cardiac arrest while receiving noncardiac surgery between January 2004 and December 2012. Collected data included patient characteristics, preoperative evaluations, American Society of Anesthesiologists Physical Status (ASA PS) classification, surgical status (e.g., elective or emergency), type of surgery, and outcomes. RESULTS: We identified 30 cases of perioperative cardiac arrest that occurred in 457,529 anesthetized patients (incidence = 0.66 per 10,000 anesthetized patient; all-cause mortality = 0.21 per 10,000 anesthetic cases). Two-thirds of patients (19 of 30) were emergency cases (21% survival rate; 4 of 19 patients). Most cardiac arrest patients (60%; 18 of 30 patients) were ASA PS IV-V, and only 40% patients were ASA PS I, II and III. Four cases were associated with anesthesia and the patient recovered, and 3 patients recovered after resuscitation. The main causes of cardiac arrest were respiratory- (75%) and medication-related events (25%). CONCLUSIONS: In accordance with anesthetic management guidelines and the development of anesthetic agents, anesthesia-related cardiac arrests decreased in terms of incidence and mortality. However, we recommend that clinicians cautiously keep in mind airway management and the administration of medications, which are important preventative factors.
