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Registro de paro cardiorrespiratorio perioperatorio en un hospital universitario en el período 2006-2017 / Registry of perioperative cardiac arrests in a clinical hospital in the period 2006-2017
Aguirre C, María Mercedes; Mayanz S, Sebastián; Blanch Z, Alonso; Aranibar L, Héctor; Salazar T, Alejandro; Roizen G, Gigia; Álvarez N, María Gabriela; Izquierdo A, Carlos; Penna S, Antonello.
  • Aguirre C, María Mercedes; Universidad de Chile. Facultad de Medicina. Departamento de Anestesiología y Reanimación. Santiago. CL
  • Mayanz S, Sebastián; Hospital Clínico Universidad de Chile. Unidad de Pacientes Críticos. Santiago. CL
  • Blanch Z, Alonso; Universidad de Chile. Facultad de Medicina. Departamento de Anestesiología y Reanimación. Santiago. CL
  • Aranibar L, Héctor; Universidad de Chile. Facultad de Medicina. Santiago. CL
  • Salazar T, Alejandro; Universidad de Chile. Facultad de Medicina. Santiago. CL
  • Roizen G, Gigia; Universidad de Chile. Facultad de Medicina. Santiago. CL
  • Álvarez N, María Gabriela; Hospital Clínico Universidad de Chile. Servicio de Anestesiología. Santiago. CL
  • Izquierdo A, Carlos; Universidad de los Andes. Santiago. CL
  • Penna S, Antonello; Universidad de Chile. Facultad de Medicina. Departamento de Anestesiología y Reanimación. Santiago. CL
Rev. méd. Chile ; 147(1): 34-40, 2019. tab
Article in Spanish | LILACS | ID: biblio-991370
ABSTRACT

Background:

Perioperative cardiac arrest (PCA) is a rare but important event in the operating room.

Aim:

To describe PCA events at a Clinical Hospital in Santiago, Chile. Material and

Methods:

Registry of PCA that occurred in the operating room (OR) and during procedures not carried out in the OR between September 2006 and November 2017. Precipitating events, type of anesthesia and results of resuscitation maneuvers were described.

Results:

Eighty events (five outside of the OR) during 170,431 surgical procedures were recorded, resulting in an incidence of 4.4 events per 10,000 interventions. Hypotension/hypoperfusion was the most frequently found preexisting condition (42.5%). The main cause was the presence of preoperative complications (57.5%). Nineteen cases (23.8%) were attributable to anesthesia, with an incidence of 1.11 per 10,000 anesthetic procedures. Survival rate at hospital discharge was 52.5%. The figure for PCA caused by anesthesia was 84.2%.

Conclusions:

The incidence of PCA and its survival is similar to that reported abroad. In general, PCA has a better prognosis than other types of cardiac arrest, especially if it has an anesthetic cause.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Heart Arrest / Hospitals, University / Intraoperative Complications Type of study: Etiology study / Incidence study / Prognostic study Limits: Adolescent / Adult / Aged / Aged80 / Child / Child, preschool / Female / Humans / Infant / Male Country/Region as subject: South America / Chile Language: Spanish Journal: Rev. méd. Chile Journal subject: Medicine Year: 2019 Type: Article Affiliation country: Chile Institution/Affiliation country: Hospital Clínico Universidad de Chile/CL / Universidad de Chile/CL / Universidad de los Andes/CL

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Full text: Available Index: LILACS (Americas) Main subject: Heart Arrest / Hospitals, University / Intraoperative Complications Type of study: Etiology study / Incidence study / Prognostic study Limits: Adolescent / Adult / Aged / Aged80 / Child / Child, preschool / Female / Humans / Infant / Male Country/Region as subject: South America / Chile Language: Spanish Journal: Rev. méd. Chile Journal subject: Medicine Year: 2019 Type: Article Affiliation country: Chile Institution/Affiliation country: Hospital Clínico Universidad de Chile/CL / Universidad de Chile/CL / Universidad de los Andes/CL