A Comparison of Obstetric and Non-obstetric Anesthesia Medical Accidents.
10.4097/kjae.2008.54.4.431
- Author:
Keonsik KIM
1
;
Mooil KWON
;
Bongjae LEE
;
Sungki HONG
;
Seungho SHIN
Author Information
1. Department of Anesthesiology and Pain Medicine, Kyung Hee University Medical Center, Seoul, Korea. Kwonmooil@yahoo.co.kr
- Publication Type:Original Article
- Keywords:
anesthesia adverse outcome;
medical accident;
obstetric anesthesia
- MeSH:
Anesthesia;
Anesthesia, Obstetrical;
Brain;
Female;
Humans;
Infant, Newborn;
Maternal Death;
Obstetrics and Gynecology Department, Hospital
- From:Korean Journal of Anesthesiology
2008;54(4):431-436
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: Obstetrics departments are unique and medical accidents in obstetric anesthesia may show differences from non-obstetric anesthesia accidents.So we compared both groups in several aspects for the understanding their characters and decreasing their incidence. METHODS: Obstetric anesthesia accidents (n = 30) and non-obstetric anesthesia accidents (n = 106) were compared in 6 categories (patient age, anesthesia method, damaging event, anesthetic care, severity of injury, payment). RESULTS: The most common complications in obstetric anesthesia accidents were maternal death (40%), maternal brain damage (13%), and maternal nerve injury (13%).In contrast, the most common complications in non-obstetric anesthesia accidents were patient death (62%), and patient brain damage (27%). The severity of injury score of obstetric anesthesia adverse outcomes was analogous to that of non-obstetric anesthesia adverse outcomes, but the payment for obstetric accidents was significantly greater than that for non-obstetric accidents. CONCLUSIONS: Obstetric anesthesia accidents revealed distinct medical risk profiles, such as patient age, damaging event, severity of injury, and payment.Special care should be used when anesthetizing younger women and caring for a newborn in obstetric anesthesia.More studies and analyses are necessary to prevent obstetric anesthesia accidents.
