Frequency of intraoperative cardiac arrest and medium-term survival

Detalhes bibliográficos
Autor(a) principal: Sebbag,Ilana
Data de Publicação: 2013
Outros Autores: Carmona,Maria Jose Carvalho, Gonzalez,Maria Margarita Castro, Alcantara,Hermes Marcel, Lelis,Rolison Gustavo Bravo, Toledo,Flavia de Oliveira, Aranha,Gustavo Fabio, Nuzzi,Rafael Ximenes do Prado, Auler Junior,Jose Otavio Costa
Tipo de documento: Artigo
Idioma: eng
Título da fonte: São Paulo medical journal (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802013000500309
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.
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spelling Frequency of intraoperative cardiac arrest and medium-term survivalIntraoperative complicationsHeart arrestCardiopulmonary resuscitationBlood circulationSurvival rate 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. Associação Paulista de Medicina - APM2013-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802013000500309Sao Paulo Medical Journal v.131 n.5 2013reponame:São Paulo medical journal (Online)instname:Associação Paulista de Medicinainstacron:APM10.1590/1516-3180.2013.1315507info:eu-repo/semantics/openAccessSebbag,IlanaCarmona,Maria Jose CarvalhoGonzalez,Maria Margarita CastroAlcantara,Hermes MarcelLelis,Rolison Gustavo BravoToledo,Flavia de OliveiraAranha,Gustavo FabioNuzzi,Rafael Ximenes do PradoAuler Junior,Jose Otavio Costaeng2013-12-03T00:00:00Zoai:scielo:S1516-31802013000500309Revistahttp://www.scielo.br/spmjhttps://old.scielo.br/oai/scielo-oai.phprevistas@apm.org.br1806-94601516-3180opendoar:2013-12-03T00:00São Paulo medical journal (Online) - Associação Paulista de Medicinafalse
dc.title.none.fl_str_mv Frequency of intraoperative cardiac arrest and medium-term survival
title Frequency of intraoperative cardiac arrest and medium-term survival
spellingShingle Frequency of intraoperative cardiac arrest and medium-term survival
Sebbag,Ilana
Intraoperative complications
Heart arrest
Cardiopulmonary resuscitation
Blood circulation
Survival rate
title_short Frequency of intraoperative cardiac arrest and medium-term survival
title_full Frequency of intraoperative cardiac arrest and medium-term survival
title_fullStr Frequency of intraoperative cardiac arrest and medium-term survival
title_full_unstemmed Frequency of intraoperative cardiac arrest and medium-term survival
title_sort Frequency of intraoperative cardiac arrest and medium-term survival
author Sebbag,Ilana
author_facet Sebbag,Ilana
Carmona,Maria Jose Carvalho
Gonzalez,Maria Margarita Castro
Alcantara,Hermes Marcel
Lelis,Rolison Gustavo Bravo
Toledo,Flavia de Oliveira
Aranha,Gustavo Fabio
Nuzzi,Rafael Ximenes do Prado
Auler Junior,Jose Otavio Costa
author_role author
author2 Carmona,Maria Jose Carvalho
Gonzalez,Maria Margarita Castro
Alcantara,Hermes Marcel
Lelis,Rolison Gustavo Bravo
Toledo,Flavia de Oliveira
Aranha,Gustavo Fabio
Nuzzi,Rafael Ximenes do Prado
Auler Junior,Jose Otavio Costa
author2_role author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Sebbag,Ilana
Carmona,Maria Jose Carvalho
Gonzalez,Maria Margarita Castro
Alcantara,Hermes Marcel
Lelis,Rolison Gustavo Bravo
Toledo,Flavia de Oliveira
Aranha,Gustavo Fabio
Nuzzi,Rafael Ximenes do Prado
Auler Junior,Jose Otavio Costa
dc.subject.por.fl_str_mv Intraoperative complications
Heart arrest
Cardiopulmonary resuscitation
Blood circulation
Survival rate
topic Intraoperative complications
Heart arrest
Cardiopulmonary resuscitation
Blood circulation
Survival rate
description 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.
publishDate 2013
dc.date.none.fl_str_mv 2013-01-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802013000500309
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802013000500309
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/1516-3180.2013.1315507
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Associação Paulista de Medicina - APM
publisher.none.fl_str_mv Associação Paulista de Medicina - APM
dc.source.none.fl_str_mv Sao Paulo Medical Journal v.131 n.5 2013
reponame:São Paulo medical journal (Online)
instname:Associação Paulista de Medicina
instacron:APM
instname_str Associação Paulista de Medicina
instacron_str APM
institution APM
reponame_str São Paulo medical journal (Online)
collection São Paulo medical journal (Online)
repository.name.fl_str_mv São Paulo medical journal (Online) - Associação Paulista de Medicina
repository.mail.fl_str_mv revistas@apm.org.br
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