Table 3 Patient characteristics and adverse events leading to anaesthesia-contributory cardiac arrest (n = 16)
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 | 50–60 | 2 | I | General surgery | II | GA | Intraoperative hemorrhage and hyperkalemia with inadequate volume resuscitation during the case. | Cardiovascular | Recovered |
2 | 60–70 | 1 | II | Thoracic surgery | III | GA | Hypotension and bradycardia 15 min after induction of anesthesia. Biopsy showed pericardial tamponade induced by pericardial metastatic tumor | Cardiovascular | Died |
3 | 40–50 | 1 | II | General surgery | II | GA | Haemorrhagic shock due to lesion of the artery. Recurrent episodes of hypotension. Problems with intraoperative management. | Cardiovascular | Recovered |
4 | 50–60 | 2 | I | Neurosurgery | IIIE | GA | Unstable angina and severe ST segment depression before surgery. Cardiac arrest 10 min after induction of anesthesia. | Cardiovascular | Died |
No. | Age range | Sex | NYHA | Speciality | ASA PS | Anesthesia Technique | Adverse Event Leading to Cardiac Arrest | Category | Outcome |
5 | 70–80 | 1 | III | Traumatology | IIIE | GA | Respiratory arrest 30 min after arrival in ICU. Likely cause respiratory arrest secondary to multiple rib fractures, pulmonary contusion and paradoxical respiratory movement. | Respiratory | Recovered |
6 | 50–60 | 2 | II | Vascular surgery | IVE | GA | Aorta abdominalis embolism and severe hyperkalemia (potassium value ≥7.5 mmol/L) before surgery. Persistent hypotension and arrhythmia after induction of anesthesia. Ventricular fibrillation 25 min after induction of anesthesia. | Cardiovascular | Died |
7 | 40–50 | 1 | I | Gynecologic surgery | II | GA | Bradycardia and hypotension after the administration of pituitrin. | Medication | Recovered |
No. | Age range | Sex | NYHA | Speciality | ASA PS | Anesthesia Technique | Adverse Event Leading to Cardiac Arrest | Category | Outcome |
8 | 50–60 | 1 | II | General surgery | II | GA | Laparoscopic hepatectomy. Hypotension and arrhythmia after 50 min of surgery incision. Likely cause cardiac arrest secondary to intraoperative pulmonary embolism. | Cardiovascular | Died |
9 | 50–60 | 2 | II | General surgery | II | GA | Intraoperative hemorrhage and ventricular fibrillation. Problems with intraoperative management. | Cardiovascular | Recovered |
10 | 50–60 | 2 | II | General surgery | II | GA | Intraoperative hemorrhage and hypotension. Inadequate volume replacement after intraoperative massive hemorrhage. | Cardiovascular | Recovered |
11 | 80–90 | 2 | III | Orthopedic surgery | III | GA | Respiratory arrest after extubation in PACU. Likely cause respiratory arrest secondary to the blocking of respiratory tract by sputum. | Respiratory | died |
No. | Age range | Sex | NYHA | Speciality | ASA PS | Anesthesia Technique | Adverse Event Leading to Cardiac Arrest | Category | Outcome |
12 | 50–60 | 2 | II | Traumatology | IIIE | GA | Intraoperative hemorrhage and ventricular fibrillation. Problems with intraoperative management. | Cardiovascular | Recovered |
13 | 20–30 | 1 | I | Gynecologic surgery | II | GA | Respiratory arrest 10 min after arrival in PACU. Postoperative respiratory depression secondary to narcotics administered throughout case and within 30 min of extubation in the OR. | Respiratory | Recovered |
14 | 60–70 | 2 | II | General surgery | II | GA | Intraoperative hemorrhage and hypotension. Inadequate volume replacement after intraoperative massive hemorrhage. | Cardiovascular | Recovered |
15 | 80–90 | 2 | III | General surgery | IIIE | GA | Bowel obstruction and recent history of MI. Probably inadequate volume resuscitation. | Cardiovascular | Died |
16 | 0–10 | 1 | II | Cardiac surgery | III | GA | Pulmonary vasospasm and hypertension 1 h after arrival in ICU. Likely due to severe vomiting and aspiration. | Cardiovascular | Died |