麻醉期间心跳骤停常见原因分析演示文稿.ppt

文档介绍：麻醉期间心跳骤停常见原因分析演示文稿
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优选麻醉期间心跳骤停常见原因分析
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Japan Society of Anesthesi麻醉期间心跳骤停常见原因分析演示文稿
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优选麻醉期间心跳骤停常见原因分析
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Japan Society of Anesthesiologists (JSA) Certified Training Hospitals (CTH)
A total number of  793,840 anesthetics
Total incidence of cardiac arrest under anesthesia/surgery was per 10,000 anesthetics
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principal causes  of total cardiac arrest cases
PC %,
IP %
SG %
AM %
(AM:incidence rate of per 10,000)
(PC) preoperative complications
(IP) intraoperative pathological events
(SG) surgery
(AM) anesthetic management
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In 52 more detailed classification of principal causes of cardiac arrest
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 (%)
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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.
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the mortality rate post-cardiac arrest
per 10,000 anesthetics,
of those due to AM,
due to IP,
due to SG,
due to PC.
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US teaching hospital
13 years from the University of Pittsburgh Medical Center (UPMC) between January 1, 1989 to December 31, 2001
218 274 anesthesia cases, including
203 382 general anesthesia cases,
12 282 spinal anesthesia cases
2610 epidural anesthesia cases
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intraoperative cardiac arrest from all causes was per 10 000 anesthetics
due to anesthesia of per 100 000
(%) died in the operating room
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