文档介绍：该【麻醉期间心跳骤停常见原因分析 】是由【mxh2875】上传分享，文档一共【19】页，该文档可以免费在线阅读，需要了解更多关于【麻醉期间心跳骤停常见原因分析 】的内容，可以使用淘豆网的站内搜索功能，选择自己适合的文档，以下文字是截取该文章内的部分文字，如需要获得完整电子版，请下载此文档到您的设备，方便您编辑和打印。Japan Society of Anesthesiologists (JSA) Certified Training Hospitals (CTH)
total number of  793,840 anesthetics
01
Total incidence of cardiac arrest under anesthesia/surgery was per 10,000 anesthetics
01
PC %,
IP %
SG %
AM %
(AM:incidence rate of per 10,000)
(PC) preoperative complications
(IP) intraoperative pathological events
(SG) surgery
(AM) anesthetic management
the most frequent cause
preoperative hemorrhagic shock,
% of all cardiac arrests.
The second cause
massive hemorrhage and/or hypovolemia due to surgical procedures (%),
the third cause
intraoperative myocardial infarction/coronary ischemia/coronary spasm (%)
Prognoses of cardiac arrest
declined due to PC: % of cardiac arrests died in the operating room or within 7 days after surgery and only % survived without sequelae.
The best prognoses due to AM: % survived without sequelae and % died.
the mortality rate post-cardiac arrest
per 10,000 anesthetics,
of those due to AM,
due to IP,
due to SG,
due to PC.
years from the University of Pittsburgh Medical Center (UPMC) between January 1, 1989 to December 31, 2001
203 382 general anesthesia cases,
2610 epidural anesthesia cases
218 274 anesthesia cases, including
282 spinal anesthesia cases
1
2
3
4
5
US teaching hospital
intraoperative cardiac arrest from all causes was per 10 000 anesthetics
due to anesthesia of per 100 000
(%) died in the operating room
a remarkable percentage of patients (%) who had intraoperative cardiac arrest were classified as ASA PS IV or V.
Survival was significantly improved in patients with ASA PS I–III (%) compared with those with ASA PS IV–V (35%).
the survival rate was lower in patients older than 65 years (20%) compared to patients younger than 64 years old (%).
Asystole was the most common (52%) on initial EKG rhythm, and those patients seemed less likely to survive after resuscitation compared to other rhythms such as PEA and VF;
Characteristics of intraoperative cardiac arrest
There was no difference between males and females in the survival rate
there were no significant differences in patients’ survival rates with trauma (50%) or emergency surgery (42%) compared with non-trauma (36%) or elective surgery (36%)