Abstract

Background: Much is still unknown about the actual incidence of anesthesia-related cardiac arrest in the United States. Methods: The authors identified all of the cases of cardiac arrest from their quality improvement database from 1999 to 2009 and submitted them for review by an independent study commission to give them the best estimate of anesthesia-related cardiac arrest at their institution. One hundred sixty perioperative cardiac arrests within 24 h of surgery were identified from an anesthesia database of 217,365 anesthetics. An independent study commission reviewed all case abstracts to determine which cardiac arrests were anesthesia-attributable or anesthesia-contributory. Anesthesia-attributable cardiac arrests were those cases in which anesthesia was determined to be the primary cause of cardiac arrest. Anesthesia-contributory cardiac arrests were those cases where anesthesia was determined to have contributed to the cardiac arrest. Results: Fourteen cardiac arrests were anesthesia-attributable, resulting in an incidence of 0.6 per 10,000 anesthetics (95% CI, 0.4 to 1.1). Twenty-three cardiac arrests were found to be anesthesia-contributory resulting in an incidence of 1.1 per 10,000 anesthetics (95% CI, 0.7 to 1.6). Sixty-four percent of anesthesia-attributable cardiac arrests were caused by airway complications that occurred primarily with induction, emergence, or in the postanesthesia care unit, and mortality was 29%. Anesthesia-contributory cardiac arrest occurred during all phases of the anesthesia, and mortality was 70%. Conclusion: As judged by an independent study commission, anesthesia-related cardiac arrest occurred in 37 of 160 cardiac arrests within the 24-h perioperative period.

Original languageEnglish (US)
Pages (from-to)829-838
Number of pages10
JournalAnesthesiology
Volume120
Issue number4
DOIs
StatePublished - Jan 1 2014

Fingerprint

Heart Arrest
Anesthesia
Anesthetics
Incidence
Databases
Perioperative Period
Mortality
Quality Improvement

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

Anesthesia-related cardiac arrest. / Ellis, Sheila Jo; Newland, Myrna C.; Simonson, Jean A.; Peters, K. Reed; Romberger, Debra; Mercer, David W; Tinker, John H.; Harter, Ronald L.; Kindscher, James D.; Qiu, Fang; Lisco, Steven J.

In: Anesthesiology, Vol. 120, No. 4, 01.01.2014, p. 829-838.

Research output: Contribution to journalArticle

Ellis, SJ, Newland, MC, Simonson, JA, Peters, KR, Romberger, D, Mercer, DW, Tinker, JH, Harter, RL, Kindscher, JD, Qiu, F & Lisco, SJ 2014, 'Anesthesia-related cardiac arrest', Anesthesiology, vol. 120, no. 4, pp. 829-838. https://doi.org/10.1097/ALN.0000000000000153
Ellis, Sheila Jo ; Newland, Myrna C. ; Simonson, Jean A. ; Peters, K. Reed ; Romberger, Debra ; Mercer, David W ; Tinker, John H. ; Harter, Ronald L. ; Kindscher, James D. ; Qiu, Fang ; Lisco, Steven J. / Anesthesia-related cardiac arrest. In: Anesthesiology. 2014 ; Vol. 120, No. 4. pp. 829-838.
@article{d0cbe62682f842f7b66da7734b3932e3,
title = "Anesthesia-related cardiac arrest",
abstract = "Background: Much is still unknown about the actual incidence of anesthesia-related cardiac arrest in the United States. Methods: The authors identified all of the cases of cardiac arrest from their quality improvement database from 1999 to 2009 and submitted them for review by an independent study commission to give them the best estimate of anesthesia-related cardiac arrest at their institution. One hundred sixty perioperative cardiac arrests within 24 h of surgery were identified from an anesthesia database of 217,365 anesthetics. An independent study commission reviewed all case abstracts to determine which cardiac arrests were anesthesia-attributable or anesthesia-contributory. Anesthesia-attributable cardiac arrests were those cases in which anesthesia was determined to be the primary cause of cardiac arrest. Anesthesia-contributory cardiac arrests were those cases where anesthesia was determined to have contributed to the cardiac arrest. Results: Fourteen cardiac arrests were anesthesia-attributable, resulting in an incidence of 0.6 per 10,000 anesthetics (95{\%} CI, 0.4 to 1.1). Twenty-three cardiac arrests were found to be anesthesia-contributory resulting in an incidence of 1.1 per 10,000 anesthetics (95{\%} CI, 0.7 to 1.6). Sixty-four percent of anesthesia-attributable cardiac arrests were caused by airway complications that occurred primarily with induction, emergence, or in the postanesthesia care unit, and mortality was 29{\%}. Anesthesia-contributory cardiac arrest occurred during all phases of the anesthesia, and mortality was 70{\%}. Conclusion: As judged by an independent study commission, anesthesia-related cardiac arrest occurred in 37 of 160 cardiac arrests within the 24-h perioperative period.",
author = "Ellis, {Sheila Jo} and Newland, {Myrna C.} and Simonson, {Jean A.} and Peters, {K. Reed} and Debra Romberger and Mercer, {David W} and Tinker, {John H.} and Harter, {Ronald L.} and Kindscher, {James D.} and Fang Qiu and Lisco, {Steven J}",
year = "2014",
month = "1",
day = "1",
doi = "10.1097/ALN.0000000000000153",
language = "English (US)",
volume = "120",
pages = "829--838",
journal = "Anesthesiology",
issn = "0003-3022",
publisher = "Lippincott Williams and Wilkins",
number = "4",

}

TY - JOUR

T1 - Anesthesia-related cardiac arrest

AU - Ellis, Sheila Jo

AU - Newland, Myrna C.

AU - Simonson, Jean A.

AU - Peters, K. Reed

AU - Romberger, Debra

AU - Mercer, David W

AU - Tinker, John H.

AU - Harter, Ronald L.

AU - Kindscher, James D.

AU - Qiu, Fang

AU - Lisco, Steven J

PY - 2014/1/1

Y1 - 2014/1/1

N2 - Background: Much is still unknown about the actual incidence of anesthesia-related cardiac arrest in the United States. Methods: The authors identified all of the cases of cardiac arrest from their quality improvement database from 1999 to 2009 and submitted them for review by an independent study commission to give them the best estimate of anesthesia-related cardiac arrest at their institution. One hundred sixty perioperative cardiac arrests within 24 h of surgery were identified from an anesthesia database of 217,365 anesthetics. An independent study commission reviewed all case abstracts to determine which cardiac arrests were anesthesia-attributable or anesthesia-contributory. Anesthesia-attributable cardiac arrests were those cases in which anesthesia was determined to be the primary cause of cardiac arrest. Anesthesia-contributory cardiac arrests were those cases where anesthesia was determined to have contributed to the cardiac arrest. Results: Fourteen cardiac arrests were anesthesia-attributable, resulting in an incidence of 0.6 per 10,000 anesthetics (95% CI, 0.4 to 1.1). Twenty-three cardiac arrests were found to be anesthesia-contributory resulting in an incidence of 1.1 per 10,000 anesthetics (95% CI, 0.7 to 1.6). Sixty-four percent of anesthesia-attributable cardiac arrests were caused by airway complications that occurred primarily with induction, emergence, or in the postanesthesia care unit, and mortality was 29%. Anesthesia-contributory cardiac arrest occurred during all phases of the anesthesia, and mortality was 70%. Conclusion: As judged by an independent study commission, anesthesia-related cardiac arrest occurred in 37 of 160 cardiac arrests within the 24-h perioperative period.

AB - Background: Much is still unknown about the actual incidence of anesthesia-related cardiac arrest in the United States. Methods: The authors identified all of the cases of cardiac arrest from their quality improvement database from 1999 to 2009 and submitted them for review by an independent study commission to give them the best estimate of anesthesia-related cardiac arrest at their institution. One hundred sixty perioperative cardiac arrests within 24 h of surgery were identified from an anesthesia database of 217,365 anesthetics. An independent study commission reviewed all case abstracts to determine which cardiac arrests were anesthesia-attributable or anesthesia-contributory. Anesthesia-attributable cardiac arrests were those cases in which anesthesia was determined to be the primary cause of cardiac arrest. Anesthesia-contributory cardiac arrests were those cases where anesthesia was determined to have contributed to the cardiac arrest. Results: Fourteen cardiac arrests were anesthesia-attributable, resulting in an incidence of 0.6 per 10,000 anesthetics (95% CI, 0.4 to 1.1). Twenty-three cardiac arrests were found to be anesthesia-contributory resulting in an incidence of 1.1 per 10,000 anesthetics (95% CI, 0.7 to 1.6). Sixty-four percent of anesthesia-attributable cardiac arrests were caused by airway complications that occurred primarily with induction, emergence, or in the postanesthesia care unit, and mortality was 29%. Anesthesia-contributory cardiac arrest occurred during all phases of the anesthesia, and mortality was 70%. Conclusion: As judged by an independent study commission, anesthesia-related cardiac arrest occurred in 37 of 160 cardiac arrests within the 24-h perioperative period.

UR - http://www.scopus.com/inward/record.url?scp=84901797707&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84901797707&partnerID=8YFLogxK

U2 - 10.1097/ALN.0000000000000153

DO - 10.1097/ALN.0000000000000153

M3 - Article

C2 - 24496124

AN - SCOPUS:84901797707

VL - 120

SP - 829

EP - 838

JO - Anesthesiology

JF - Anesthesiology

SN - 0003-3022

IS - 4

ER -