Frequency of intraoperative cardiac arrest and medium-term survival

Imagem de Miniatura
Arquivos
art_SEBBAG_Frequency_of_intraoperative_cardiac_arrest_and_medium_term_2013.PDF (489.06 KB)
Citações na Scopus
17
Tipo de produção
article
Data de publicação
2013
DOI
SciELO
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
ASSOCIACAO PAULISTA MEDICINA
Autores
Citação
SAO PAULO MEDICAL JOURNAL, v.131, n.5, p.309-314, 2013
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
CONTEXT AND OBJECTIVE: Although advances in surgical and anesthetic techniques have reduced perioperative morbidity-mortality, the survival rate following cardiac arrest remains low. The aim of this study was to evaluate, over the course of one year, the prevalence of intraoperative cardiac arrest and the 30-day survival rate after this event in a tertiary teaching hospital. DESIGN AND SETTING: Prospective cohort study in a tertiary teaching hospital. METHODS: Following approval by the institutional ethics committee, anesthetic procedures and cases of intraoperative cardiac arrest between January and December 2007 were evaluated. Patients undergoing cardiac surgery were excluded. The data were gathered prospectively using the modified Utstein model, with evaluation of demographic data, pre-arrest conditions, intraoperative care, care during arrest and postoperative outcome up to the 30th day. The data were recorded by the attending anesthesiologist. RESULTS: During the study period, 40,379 anesthetic procedures were performed, and 52 cases of intraoperative cardiac arrest occurred (frequency of 13: 10,000). Among these, 69% presented spontaneous return of circulation after the initial arrest, and only 25% survived for 30 days after the event. The following factors were associated with shorter survival: American Society of Anesthesiologists physical status IV and V, emergency surgery, hemorrhagic events, hypovolemia as the cause of arrest and use of atropine during resuscitation. CONCLUSIONS: Although the frequency of cardiac arrest in the surgical environment has declined and resources to attend to this exist, the survival rate is low. Factors associated with worst prognosis are more frequent in critical patients.
Palavras-chave
Intraoperative complications, Heart arrest, Blood circulation, Survival rate
URI
https://observatorio.fm.usp.br/handle/OPI/5049
Referências
  1. Braz LG, 2006, BRIT J ANAESTH, V96, P569, DOI 10.1093/bja/ael065
  2. CHOPRA V, 1990, ANAESTHESIA, V45, P3, DOI 10.1111/j.1365-2044.1990.tb14492.x
  3. Cummins RO, 1997, CIRCULATION, V95, P2213
  4. CUMMINS RO, 1991, CIRCULATION, V84, P960
  5. Deshpande JK, 2011, ANESTH ANALG, V112, P1259, DOI 10.1213/ANE.0b013e3182182199
  6. Gonzalez MM, 2008, CIRCULATION, V117, P1864, DOI 10.1161/CIRCULATIONAHA.107.740167
  7. Jacobs I, 2004, CIRCULATION, V110, P3385, DOI 10.1161/01.CIR.0000147236.85306.15
  8. Kawashima Y, 2003, ACTA ANAESTH SCAND, V47, P809, DOI 10.1034/j.1399-6576.2003.00166.x
  9. Kopp SL, 2005, ANESTH ANALG, V100, P855, DOI 10.1213/01.ANE.0000144066.72932.B1
  10. Neumar RW, 2010, CIRCULATION, V122, pS729, DOI 10.1161/CIRCULATIONAHA.110.970988
  11. OLSSON GL, 1988, ACTA ANAESTH SCAND, V32, P653
  12. Ruiz Neto PP, 1986, REV BRAS ANESTESIOL, V36, P149
  13. Sprung J, 2003, ANESTHESIOLOGY, V99, P259, DOI 10.1097/00000542-200308000-00006
  14. van der Griend BF, 2011, ANESTH ANALG, V112, P1440, DOI 10.1213/ANE.0b013e318213be52
  15. Zuercher M, 2008, CURR OPIN CRIT CARE, V14, P269, DOI 10.1097/MCC.0b013e3282f948cd

Coleções
Artigos e Materiais de Revistas Científicas - FM/MCG
Artigos e Materiais de Revistas Científicas - HC/ICESP
Artigos e Materiais de Revistas Científicas - HC/ICHC
Artigos e Materiais de Revistas Científicas - HC/InCor
Artigos e Materiais de Revistas Científicas - HC/IOT
Artigos e Materiais de Revistas Científicas - LIM/08