Perioperative cardiac arrest: a study of 53 718 anaesthetics over 9 yr from a Brazilian teaching hospital

Braz, Leandro Gobbo; Nsp, Módolo; Nascimento, Paulo do; Bruschi, B. A. M.; Ymm, Castiglia; Ganem, Eliana Marisa; Carvalho, Lídia Raquel de; Bráz, José Reinaldo Cerqueira

doi:10.1093/bja/ael065

Cited by 167 publications

(235 citation statements)

References 33 publications

Supporting

Mentioning

194

Contrasting

Unclassified

Order By: Relevance

“…Anaesthetic-related mortality in middle-income countries is 2-3 times higher than that in developed countries. 11,12,45,[47][48][49] Perioperative mortality trends may initially increase in middleincome countries with increasing access to surgical care, the increased provision of surgery for unwell patients undergoing complex procedures, and more reliable data. 9,11,12,19,29 A 2014 study from Brazil demonstrated this, as 24-hour perioperative mortality increased when compared against the incidence of mortality reported in previous studies.…”

Section: Incidence Of Morbiditymentioning

confidence: 99%

“…9,11,12,19,29 A 2014 study from Brazil demonstrated this, as 24-hour perioperative mortality increased when compared against the incidence of mortality reported in previous studies. 11,47,50 Anaesthetic-related mortality increases by a factor of 50-100 in low-income countries, but may be 1 000-fold higher in certain poor countries. 11,18,19,21,[47][48][49][50][51][52][53][54][55] Bainbridge reported a similar trend in adult patients.…”

Section: Incidence Of Morbiditymentioning

confidence: 99%

“…11,47,50 Anaesthetic-related mortality increases by a factor of 50-100 in low-income countries, but may be 1 000-fold higher in certain poor countries. 11,18,19,21,[47][48][49][50][51][52][53][54][55] Bainbridge reported a similar trend in adult patients. 19 Unlike the case in high HDI countries, anaesthetic-related mortality in low HDI countries has not declined.…”

Section: Incidence Of Morbiditymentioning

confidence: 99%

“…19 Cardiac arrest from all causes during anaesthesia is approximately 20-30 per 10 000 anaesthetics, while anaesthetic-related cardiac arrest ranges from 1-5 per 10 000 anaesthetics. 11,42,47,56 Mortality following anaesthetic-related cardiac arrest is 30% in highincome countries, but far higher in low-income countries. 11,42,47,[56][57][58] Up to 75% of anaesthetic-related cardiac arrests and critical incidents are deemed to be preventable.…”

Section: Incidence Of Morbiditymentioning

confidence: 99%

“…11,42,47,56 Mortality following anaesthetic-related cardiac arrest is 30% in highincome countries, but far higher in low-income countries. 11,42,47,[56][57][58] Up to 75% of anaesthetic-related cardiac arrests and critical incidents are deemed to be preventable. 11,31,33,42,49,57,59 Anaesthetic-related serious adverse event rates are 1.4 per 1 000 to 1.4 per 10 000 anaesthetics.…”

Section: Incidence Of Morbiditymentioning

confidence: 99%

See 4 more Smart Citations

A review of paediatric anaesthetic-related mortality, serious adverse events and critical incidents

Cronjé

2015

Southern African Journal of Anaesthesia and Analgesia

View full text Add to dashboard Cite

Anaesthetists increasingly face questions from parents on the long-term outcomes of anaesthesia, and yet more immediate anaesthetic risks are not understood, nor explained to families. This review focused on paediatric anaesthetic-related mortality, cardiac arrest and anaesthetic-related serious adverse events and critical incidents during general anaesthesia, and within 24 hours of anaesthesia ending. Anaesthetic-related mortality is rare in the developed world, and is approximately 1 per 10 000 anaesthetics, but increases in high-risk children. Serious anaesthetic-related adverse events occur in 1.4 per 1 000 anaesthetics in the developed world. Data are lacking from the developing world but anaesthetic mortality is 2-3 times higher in middle-income countries and may be up to 100-fold greater in low-income countries. A critical incident occurs in 3-8% of anaesthetics and this figure is double that in low-income countries. Anaesthetic-related events are predominantly preventable. Brief recommendations on preventative strategies are made and research goals outlined.

show abstract

Section: Incidence Of Morbiditymentioning

confidence: 99%

Section: Incidence Of Morbiditymentioning

confidence: 99%

Section: Incidence Of Morbiditymentioning

confidence: 99%

Section: Incidence Of Morbiditymentioning

confidence: 99%

Section: Incidence Of Morbiditymentioning

confidence: 99%

See 3 more Smart Citations

A review of paediatric anaesthetic-related mortality, serious adverse events and critical incidents

Cronjé

2015

Southern African Journal of Anaesthesia and Analgesia

View full text Add to dashboard Cite

show abstract

SCAI/CCAS/SPA expert consensus statement for anesthesia and sedation practice: Recommendations for patients undergoing diagnostic and therapeutic procedures in the pediatric and congenital cardiac catheterization laboratory

Odegard

Vincent

Baijal

et al. 2016

Cathet Cardio Intervent

View full text Add to dashboard Cite

Current practice of sedation and anesthesia for patients undergoing pediatric congenital cardiac catheterization laboratory (PCCCL) procedures is known to vary among institutions, a multi-society expert panel with representatives from the Congenital Heart Disease Council of the Society for Cardiovascular Angiography and Interventions (SCAI), the Society for Pediatric Anesthesia (SPA) and the Congenital Cardiac Anesthesia Society (CCAS) was convened to evaluate the types of sedation and personnel necessary for procedures performed in the PCCCL. The goal of this panel was to provide practitioners and institutions performing these procedures with guidance consistent with national standards and to provide clinicians and institutions with consensus-based recommendations and the supporting references to encourage their application in quality improvement programs. Recommendations can neither encompass all clinical circumstances nor replace the judgment of individual clinicians in the management of each patient. The science of medicine is rooted in evidence, and the art of medicine is based on the application of this evidence to the individual patient. This expert consensus statement has adhered to these principles for optimal management of patients requiring sedation and anesthesia. What follows are recommendations for patient monitoring in the PCCCL regardless of whether minimal or no sedation is being used or general anesthesia is being provided by an anesthesiologist. © 2016 Wiley Periodicals Inc.

show abstract

Cardiac arrest during adult liver transplantation: A single institution's experience with 1238 deceased donor transplants

et al. 2013

View full text Add to dashboard Cite

Liver transplantation (LT) is one of the highest risk noncardiac surgeries. We reviewed the incidence, etiologies, and outcomes of intraoperative cardiac arrest (ICA) during LT. Adult cadaveric LT recipients from January 1, 2001 through December 31, 2009 were reviewed. ICA was defined as an event requiring either closed chest compression or open cardiac massage. Cardiac arrest patients who recovered with only pharmacological interventions were excluded. Data included etiologies and outcomes of ICA, intraoperative deaths (IDs) and hospital deaths (HDs), and potential ICA risk factors. ICA occurred in 68 of 1238 LT recipients (5.5%). It occurred most frequently during the neohepatic phase (60 cases or 90%), and 39 of these cases (65.0%) experienced ICA within 5 minutes after graft reperfusion. The causes of ICA included postreperfusion syndrome (PRS; 26 cases or 38.2%) and pulmonary thromboembolism (PTE; 24 cases or 35.3%). A higher Model for End-Stage Liver Disease (MELD) score was found to be the most significant risk factor for ICA. The ID rate after ICA was 29.4% (20 cases), and the HD rate was 50.0% (34 cases). The 30-day patient survival rate after ICA was 55.9%, and the 1-year survival rate was 45.6%: these rates were significantly lower (P < 0.001) than those for non-ICA patients (97.4% and 85.1%, respectively). In conclusion, the incidence of ICA in adult cadaveric LT was 5.5% with an intraoperative mortality rate of 29.4%. ICA most frequently occurred within 5 minutes after reperfusion and resulted mainly from PRS and PTE. A higher MELD score was identified as a risk factor.

show abstract

Perioperative cardiac arrest: a study of 53 718 anaesthetics over 9 yr from a Brazilian teaching hospital

Cited by 167 publications

References 33 publications

A review of paediatric anaesthetic-related mortality, serious adverse events and critical incidents

A review of paediatric anaesthetic-related mortality, serious adverse events and critical incidents

SCAI/CCAS/SPA expert consensus statement for anesthesia and sedation practice: Recommendations for patients undergoing diagnostic and therapeutic procedures in the pediatric and congenital cardiac catheterization laboratory

Cardiac arrest during adult liver transplantation: A single institution's experience with 1238 deceased donor transplants

Contact Info

Product

Resources

About