Cardiac Arrest After Spinal Anesthesia in Thailand: A Prospective Multicenter Registry of 40,271 Anesthetics

Charuluxananan, Somrat; Thienthong, Somboon; Rungreungvanich, Mali; Chanchayanon, Thavat; Chinachoti, Thitima; Kyokong, Oranuch; Punjasawadwong, Yodying

doi:10.1213/ane.0b013e31817bd143

Cited by 36 publications

(28 citation statements)

References 17 publications

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“…Two major groups of patients having cardiac arrest during spinal anesthesia were patients undergoing cesarean delivery and surgery to the lower extremity. [9] Such a large bone fractures in case of relatively emergency traumatology of patients of ASA classification status be left partially in the background is the long-term quality of life ahead. Neuraxial block in our case was chosen because of advanced age, obesity and overall physical condition was to be fond of.…”

Section: Discussionmentioning

confidence: 99%

Lower Extremity Surgery with the Patient Under Spinal Anesthesia: Cardiac Arrest

Sarıkaya¹,

Ozyuvaci²,

Vatansever³

2011

Istanbul Tip Derg

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SUMMARYWe present herein the case of an 87-year-old male undergoing surgery for traumatic fracture of the femur in whom severe bradycardia and cardiac arrest developed after spinal anesthesia. Dopamine infusion started after resuscitation was stopped in the 3rd hour. A relationship was seen between this process and intrathecal application and development of bradycardia. However, this relationship represents only one of the cardiac arrest etiologies. With this case study, we aimed to question all possible causes to determine if the development of cardiac arrest following spinal anesthesia was coincidental or a remarkable phenomenon, since the operation performed under general anesthesia 15 days later was uneventful.

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Section: Discussionmentioning

confidence: 99%

Lower Extremity Surgery with the Patient Under Spinal Anesthesia: Cardiac Arrest

Sarıkaya¹,

Ozyuvaci²,

Vatansever³

2011

Istanbul Tip Derg

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“…However, there was one case of maternal mortality, which was reported as part of a multicenter registry of patients receiving spinal anesthesia in Thailand [7]. The case was in a 33 y-old parturient, scheduled for elective cesarean delivery.…”

Section: Anesthesia For Cesarean Section In Placenta Previamentioning

confidence: 99%

“…Induction of general anesthesia was performed during the hysterectomy. Maternal fatality occurred after massive hemorrhage with disseminated intravascular coagulopathy and a ruptured bladder [7].…”

Section: Anesthesia For Cesarean Section In Placenta Previamentioning

confidence: 99%

Brief communication (Original). Anesthesia for cesarean section in parturients diagnosed with placenta previa in a Thai university hospital: a retrospective analysis of 562 consecutive cases

et al. 2014

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Background: Anesthesia for cesarean delivery in parturients diagnosed with placenta previa remains controversial. Objectives: To investigate factors correlated with choice of anesthesia in these parturients and their outcomes. Methods: Retrospective analysis of patients with placenta previa and cesarean delivery at King Chulalongkorn Memorial Hospital. Peri operative anesthetic and complication data were collected using a structured collection form. Univariate analysis and multivariate logistic regression were used. P < 0.05 was considered significant. Results: Among 50,237 deliveries from July 1, 2005 to June 30, 2011, there were 562 cesarean sections in diagnosed cases of placenta previa. Cesarean deliveries (479) were performed under spinal anesthesia (81%), epidural anesthesia (1.8%), and if the effects spinal anesthesia dissipated, general anesthesia (2.3%). Among 46 cases of cesarean hysterectomy, 27 patients (58.7%) received regional anesthesia. However, 6 of 10 patients with planned cesarean hysterectomy underwent general anesthesia, while 1 of 4 of a group with regional anesthesia needed conversion to general anesthesia. There was no serious anesthesia-related complication. Factors related to general anesthesia were: a higher American Society of Anesthesiologists (ASA) physical status OR 2.7 (95% CI 1.7-4.3) P < 0.001; presentation with bleeding OR 1.8(95% CI 1.0-3.1) P = 0.033; anterior site of placenta OR 1.8 (95% CI 1.1-3.2) P = 0.025; heart rate >125 bpm OR 5.6 (95% CI 1.5-214) P = 0.01; and pack red cell transfusion OR 3.4 (95% CI 2.0-5.7) P < 0.001. Conclusions: Most parturients received regional anesthesia. Neuroaxial anesthesia and general anesthesia are safe.

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“…Koop et al 5 and liguori et al 19 observed that, in several episodes of documented cA, recordings immediately before and after the event did not indicate cases of arterial oxygen saturation below 90%. Besides, those authors demonstrated that many patients who developed cA had not received sedative drugs 3,10,19,20 .…”

Section: Introductionmentioning

confidence: 98%

“…to determine the frequency of cardiac arrest during spinal anesthesia, investigators observed a remarkably heterogenous incidence, ranging from 1.3 to 18 cases in 10,000 spinal anesthesias 5,[8][9][10] .…”

Section: Introductionmentioning

confidence: 99%

Parada cardiorrespiratória em raquianestesia

Limongi¹,

Lins²

2011

Rev. Bras. Anestesiol.

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Cardiac Arrest After Spinal Anesthesia in Thailand: A Prospective Multicenter Registry of 40,271 Anesthetics

Cited by 36 publications

References 17 publications

Lower Extremity Surgery with the Patient Under Spinal Anesthesia: Cardiac Arrest

Lower Extremity Surgery with the Patient Under Spinal Anesthesia: Cardiac Arrest

Brief communication (Original). Anesthesia for cesarean section in parturients diagnosed with placenta previa in a Thai university hospital: a retrospective analysis of 562 consecutive cases

Parada cardiorrespiratória em raquianestesia

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