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Adult perioperative cardiac arrest: An overview of 684 cases reported to webAIRS
There were 684 perioperative cardiac arrests reported to webAIRS between September 2009 and March 2022. The majority involved patients older than 60 years, classified as American Society of Anesthesiologists Physical Status 3 to 5, undergoing an emergency or major procedure. The most common precipit...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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SAGE Publications
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10604388/ https://www.ncbi.nlm.nih.gov/pubmed/37802486 http://dx.doi.org/10.1177/0310057X231196912 |
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author | Bright, Matthew R Endlich, Yasmin King, Zachary DJ White, Leigh D Concha Blamey, Sandra I Culwick, Martin D |
author_facet | Bright, Matthew R Endlich, Yasmin King, Zachary DJ White, Leigh D Concha Blamey, Sandra I Culwick, Martin D |
author_sort | Bright, Matthew R |
collection | PubMed |
description | There were 684 perioperative cardiac arrests reported to webAIRS between September 2009 and March 2022. The majority involved patients older than 60 years, classified as American Society of Anesthesiologists Physical Status 3 to 5, undergoing an emergency or major procedure. The most common precipitants included airway events, cardiovascular events, massive blood loss. medication issues, and sepsis. The highest mortality rate was 54% of the 46 cases in the miscellaneous category (this included 34 cases of severe sepsis, which had a mortality of 65%). This was followed by cardiovascular precipitants (n = 424) in which there were 147 deaths (35% mortality): these precipitants included blood loss (53%), embolism (61%) and myocardial infarction (70%). Airway and breathing events accounted for 25% and anaphylaxis 8%. A specialist anaesthetist attended the majority of these cardiac arrests. As webAIRS is a voluntary database, it is not possible to determine the incidence of perioperative cardiac arrest and only descriptive information on factors associated with cardiac arrest can be obtained. Nevertheless, the large number of reports includes a wide range of cases, precipitants, demographics and outcomes, providing ample opportunity to learn from these events. The data also provide rich scope for further research into further initiatives to prevent cardiac arrest in the perioperative period, and to improve outcomes, should a cardiac arrest occur. |
format | Online Article Text |
id | pubmed-10604388 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-106043882023-10-28 Adult perioperative cardiac arrest: An overview of 684 cases reported to webAIRS Bright, Matthew R Endlich, Yasmin King, Zachary DJ White, Leigh D Concha Blamey, Sandra I Culwick, Martin D Anaesth Intensive Care Original Articles There were 684 perioperative cardiac arrests reported to webAIRS between September 2009 and March 2022. The majority involved patients older than 60 years, classified as American Society of Anesthesiologists Physical Status 3 to 5, undergoing an emergency or major procedure. The most common precipitants included airway events, cardiovascular events, massive blood loss. medication issues, and sepsis. The highest mortality rate was 54% of the 46 cases in the miscellaneous category (this included 34 cases of severe sepsis, which had a mortality of 65%). This was followed by cardiovascular precipitants (n = 424) in which there were 147 deaths (35% mortality): these precipitants included blood loss (53%), embolism (61%) and myocardial infarction (70%). Airway and breathing events accounted for 25% and anaphylaxis 8%. A specialist anaesthetist attended the majority of these cardiac arrests. As webAIRS is a voluntary database, it is not possible to determine the incidence of perioperative cardiac arrest and only descriptive information on factors associated with cardiac arrest can be obtained. Nevertheless, the large number of reports includes a wide range of cases, precipitants, demographics and outcomes, providing ample opportunity to learn from these events. The data also provide rich scope for further research into further initiatives to prevent cardiac arrest in the perioperative period, and to improve outcomes, should a cardiac arrest occur. SAGE Publications 2023-10-06 2023-11 /pmc/articles/PMC10604388/ /pubmed/37802486 http://dx.doi.org/10.1177/0310057X231196912 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/This article is distributed under the terms of the Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Original Articles Bright, Matthew R Endlich, Yasmin King, Zachary DJ White, Leigh D Concha Blamey, Sandra I Culwick, Martin D Adult perioperative cardiac arrest: An overview of 684 cases reported to webAIRS |
title | Adult perioperative cardiac arrest: An overview of 684 cases reported to webAIRS |
title_full | Adult perioperative cardiac arrest: An overview of 684 cases reported to webAIRS |
title_fullStr | Adult perioperative cardiac arrest: An overview of 684 cases reported to webAIRS |
title_full_unstemmed | Adult perioperative cardiac arrest: An overview of 684 cases reported to webAIRS |
title_short | Adult perioperative cardiac arrest: An overview of 684 cases reported to webAIRS |
title_sort | adult perioperative cardiac arrest: an overview of 684 cases reported to webairs |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10604388/ https://www.ncbi.nlm.nih.gov/pubmed/37802486 http://dx.doi.org/10.1177/0310057X231196912 |
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