REGISTRY OF PERIOPERATIVE CARDIAC ARRESTS IN A CLINICAL HOSPITAL IN THE PERIOD 2006-2017
Registro de Paro Cardiorrespiratorio Perioperatorio en el Hospital Clínico de la Universidad de Chile en el periodo 2006-2017
Author
Aguirre C, María Mercedes; Departamento de Anestesiología Facultad de Medicina/Servicio de Anestesiología Hospital Clínico
Universidad de Chile
Mayanz S, Sebastián; Hospital San Camilo Los Andes
Servicio de Atención Médica de Urgencia (SAMU)
Blanch Z, Alonso; Hospital Clínico Universidad de Chile
Araníbar L, Héctor; Facultad de Medicina Universidad de Chile
Salazar T, Alejandro; Instituto de Neurocirugía Prof Asenjo
Roizen G, Gigia
Alvarez N, María Gabriela; Hospital Clínico Universidad de Chile
Izquierdo A, Carlos; Ejercicio independiente de la profesión.
Penna S, Antonello; Departamento Anestesiología Facultad de Medicina/Servicio de Anestesiología Hospital Clínico
Universidad de Chile
Abstract
Background: Perioperative cardiac arrest (PCA) is a rare but important event in the operating room. Aim: To describe PCA events at a Clinical Hospital in Santiago, Chile. Material and methods: Registry of PCA that occurred in the operating room (OR) and during procedures not carried out in the OR between September 2006 and November 2017. Precipitating events, type of anesthesia and results of resuscitation maneuvers were described. Results: Eighty events (five outside of the OR) during 170431 surgical procedures were recorded, resulting in an incidence of 4.4 events per 10.000 interventions. Hypotension/hypoperfusion was the most frequently found preexisting condition (42.5%). The main cause was the presence of preoperative complications (57.5%). Nineteen cases (23.8%) were attributable to anesthesia, with an incidence of 1.11 per 10000 anesthetic procedures. Survival rate at hospital discharge was 52.5%. The figure for PCA caused by anesthesia was 84.2%. Conclusions: The incidence of PCA and its survival is similar to that reported abroad. In general, PCA has a better prognosis than other types of cardiac arrest, especially if it has an anesthetic cause. Background: Perioperative cardiac arrest (PCA) is a rare but important event in the operating room. Aim: To describe PCA events at a Clinical Hospital in Santiago, Chile. Material and methods: Registry of PCA that occurred in the operating room (OR) and during procedures not carried out in the OR between September 2006 and November 2017. Precipitating events, type of anesthesia and results of resuscitation maneuvers were described. Results: Eighty events (five outside of the OR) during 170431 surgical procedures were recorded, resulting in an incidence of 4.4 events per 10.000 interventions. Hypotension/hypoperfusion was the most frequently found preexisting condition (42.5%). The main cause was the presence of preoperative complications (57.5%). Nineteen cases (23.8%) were attributable to anesthesia, with an incidence of 1.11 per 10000 anesthetic procedures. Survival rate at hospital discharge was 52.5%. The figure for PCA caused by anesthesia was 84.2%. Conclusions: The incidence of PCA and its survival is similar to that reported abroad. In general, PCA has a better prognosis than other types of cardiac arrest, especially if it has an anesthetic cause.
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