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Table 2 Patient characteristics and adverse events leading to anaesthesia-related cardiac arrest (n = 11)

From: A study of anaesthesia-related cardiac arrest from a Chinese tertiary hospital

No.

Age range

Sex

NYHA

Speciality

ASA PS

Anesthesia

Technique

Adverse Event Leading to Cardiac Arrest

Category

Outcome

1

90–100

1

III

Orthopedic surgery

IV

GA

Hypotension and dysrhythmia after intravenous narcotic. Multiple comorbidities.

Cardiovascular

Recovered

2

50–60

2

I

General surgery

IIIE

GA

Dysrhythmia due to the use of neophryn for hypotension and bradycardia during surgery.

Medication

Recovered

3

90–100

2

III

Spinal surgery

III

GA

Bradycardia and dysrhythmia after intravenous narcotic. Multiple comorbidities.

Cardiovascular

Died

4

30–40

2

I

Traumatology

IIIE

GA

Massive aspiration of blood after induction, hypoxia.

Respiratory

Died

5

20–30

2

I

Spinal surgery

I

SAB

Bradycardia and dysrhythmia after postural change.

Regional block

Recovered

No.

Age range

Sex

NYHA

Speciality

ASA PS

Anesthesia

Technique

Adverse Event Leading to Cardiac Arrest

Category

Outcome

6

20–30

1

I

ENT surgery

I

GA

Loss of airway on PACU due to bleeding and laryngospasm after nasal trumpet placed.

Respiratory

Recovered

7

40–50

2

II

Traumatology

IIIE

GA

Intraperitoneal hemorrhage, cardiac arrest during insertion of central venous catheter.

Cardiovascular

Died

8

30–40

1

I

General surgery

I

SAB

Bradycardia and dysrhythmia 15 min after the block.

Regional block

Recovered

9

80–90

1

III

Orthopedic surgery

IV

GA

Hypotension and acute myocardial ischemia after intravenous narcotic. Multiple comorbidities.

Cardiovascular

Died

10

70–80

1

II

Orthopedic surgery

III

SAB

Seizure and dysrhythmia due to the local anesthetic intoxation.

Medication

Recovered

11

0–10

1

I

ENT surgery

I

GA

Displacement of endotracheal tubes during surgery. A failure to ventilate and intubate. Problem with fixation of the tracheal tube.

Respiratory

Recovered

  1. NYHA New York Heart Association, ASA PS American Society of Anesthesiologists physical status score, GA general anesthesia, SAB subarachnoid block, PACU postanesthesia care unit