麻醉期间心跳骤停常见原因分析.pptVIP

麻醉期间心跳骤停常见原因分析 术中心跳骤停相关性因素分析 麻醉期间心跳骤停常见原因分析 麻醉期间心跳骤停常见原因分析 麻醉期间心跳骤停常见原因分析 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 6.53 per 10,000 anesthetics 麻醉期间心跳骤停常见原因分析 principal causes  of total cardiac arrest cases PC 42.9%, IP 22.0% SG 21.4% AM 12.0% (AM:incidence rate of 0.78 per 10,000) (PC) preoperative complications (IP) intraoperative pathological events (SG) surgery (AM) anesthetic management 麻醉期间心跳骤停常见原因分析 In 52 more detailed classification of principal causes of cardiac arrest the most frequent cause preoperative hemorrhagic shock, 20.3% of all cardiac arrests. The second cause massive hemorrhage and/or hypovolemia due to surgical procedures (13.1%), the third cause intraoperative myocardial infarction/coronary ischemia/coronary spasm (9.5%) 麻醉期间心跳骤停常见原因分析 Prognoses of cardiac arrest declined due to PC: 71.1% of cardiac arrests died in the?operating?room?or within 7 days after surgery and only 19.8% survived without sequelae. The best prognoses due to AM: 69.4% survived without sequelae and 12.9% died.? 麻醉期间心跳骤停常见原因分析 the?mortality?rate post-cardiac arrest 3.44 per 10,000 anesthetics, of those 0.10 due to AM, 0.57 due to IP, 0.76 due to SG, 1.99 due to PC. 麻醉期间心跳骤停常见原因分析  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 麻醉期间心跳骤停常见原因分析 intraoperative cardiac arrest from all causes was 1.05 per 10 000 anesthetics due to anesthesia of 0.45 per 100 000 (60.8%) died in the operating room 麻醉期间心跳骤停常见原因分析 麻醉期间心跳骤停常见原因分析 麻醉期间心跳骤停常见原因分析 Characteristics of intraoperative cardiac arrest a remarkable percentage of patients (86.9%) who had intraope