Registro de paro cardiorrespiratorio perioperatorio en un hospital universitario en el período 2006-2017

C., María Mercedes Aguirre; S., Sebastián Mayanz; Z., Alonso Blanch; L., Héctor Aranibar; T., Alejandro Salazar; G., Gigia Roizen; N., María Gabriela Álvarez; A., Carlos Izquierdo; S., Antonello Penna

doi:10.4067/s0034-98872019000100034

Cited by 2 publications

(1 citation statement)

References 13 publications

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“…Unexpected cardiac arrest in post-anaesthesia care unit after tubal sterilisation Resumen E l paro cardiorrespiratorio perioperatorio (PCRP) definido como un evento donde el paciente requiere maniobras de compresión torácica o desfibrilación cardiaca, ocurrido desde el ingreso a quirófano hasta el alta de la sala de recuperación posanestésica 1 durante ese tiempo el paciente anestesiado y bajo vigilancia del personal designado y 2 existe otra definición de paro cardiaco como la ausencia de pulso, actividad eléctrica sin pulso, fibrilación ventricular con necesidad de reanimación cardiopulmonar y empleo de compresiones torácicas 3 .…”

Section: Patricia Alegre Andradeunclassified

Paro cardiaco inesperado en unidad de cuidados posanestésico en paciente post esterilización tubárica

Andrade

2021

Gac Med Bol

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Paro cardiaco en salas de recuperacion posanestesica, entidad poco frecuente en esterilizacion tubaria. Factores descencadenantes como sobresedación, bloqueo espinal alto,uso de opiodes, toxicidad sistemica por anestesicos locales. La ligadura de trompas como metodo anticonceptivo definitivo que se realiza de preferencia bajo anestesia raquidea. Paciente de 35 años en su puerperio de 12 horas, se somete a salpingoclasia bilateral bajo anestesia raquidea, con dosis de fentanil de 20 mcg y bupivacaina pesada de 12 mg.Nivel de dermatoma alcanzado de T6 (ideal para el procedimiento quirurgico), sin ninguna otra administracion medicamentosa. En la unidad de recuperacion postanestesica presenta paro cardiaco con inicio de manera inmediata de soporte vital avanzado con buenos resultados posteriores. Se le pracrican los examenes complementarios e interconsultas correspondiente. Paciente es dada de alta hospitalaria sin secuelas neurologicas a los 4 dias posteriores al evento. Prevenir y tratar la causa correspondiente del paro cardiaco.

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Section: Patricia Alegre Andradeunclassified

Paro cardiaco inesperado en unidad de cuidados posanestésico en paciente post esterilización tubárica

Andrade

2021

Gac Med Bol

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Анестезиологическая Летальность: Основные Причины И Факторы Риска. Обзор Литературы

Лебединский,

Беликов,

Гузовский

2024

Annals of Critical Care

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INTRODUCTION: The lethal outcome associated with anesthesia or surgery is an indicator of both the safety of patients in the perioperative period and the level of healthcare. OBJECTIVE: We analyzed the causes and risk factors of anesthetic mortality according to the world literature in order to justify the necessity of confidential enquiry on perioperative critical events in the Russian Federation. MATERIALS AND METHODS: We analyzed the references published from 2000 to 2023 in the databases PubMed, Google Scholar, MEDLINE and eLibrary (for Russian authors). RESULTS: Of the 5,190 results, only 97 papers turned out to be relevant. After careful study, 29 full-text publications were selected as met all the selection criteria and were included into the analysis. In most of the reported observations, there is a global decrease in anesthesia-related mortality. The main dominant causes remains exactly the same (respiratory and hemodynamic disorders) with conventional risk factors (ASA grades 3–5, after-hours operations, etc.). Unfortunately, we were unable to collect data on the situation in the Russian Federation, since such studies have not yet been conducted here. CONCLUSIONS: Despite the decrease in anesthesia-related mortality, the main causes remain constant: respiratory disorders and violation of instructions for the use of drugs or their incorrect use. In the last decade, in research, the authors have been paying attention to risk factors for the occurrence of critical incidents, the main of which is, for example, operations at night. Since traditional causes of anesthesia-related death may constitute the basis of accusation, in order to effectively study the safety of anesthesia, develop protocols and recommendations, it seems to be necessary to create a regularly conducted confidential enquiry in Russia, similar to NCEPOD in the UK.

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Registro de paro cardiorrespiratorio perioperatorio en un hospital universitario en el período 2006-2017

Cited by 2 publications

References 13 publications

Paro cardiaco inesperado en unidad de cuidados posanestésico en paciente post esterilización tubárica

Paro cardiaco inesperado en unidad de cuidados posanestésico en paciente post esterilización tubárica

Анестезиологическая Летальность: Основные Причины И Факторы Риска. Обзор Литературы

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