Cardiac arrest in obstetric patients receiving anaesthetic care : results from the 7th National Audit Project of the Royal College of Anaesthetists
© 2024 The Authors. Anaesthesia published by John Wiley & Sons Ltd on behalf of Association of Anaesthetists..
The 7th National Audit Project (NAP7) of the Royal College of Anaesthetists studied peri-operative cardiac arrest. Additional inclusion criteria for obstetric anaesthesia were: cardiac arrest associated with neuraxial block performed by an anaesthetist outside the operating theatre (labour epidural analgesia); and cardiac arrest associated with remifentanil patient-controlled analgesia. There were 28 cases of cardiac arrest in obstetric patients, representing 3% of all cardiac arrests reported to NAP7, giving an incidence of 7.9 per 100,000 (95%CI 5.4-11.4 per 100,000). Obstetric patients were approximately four times less likely to have a cardiac arrest during anaesthesia care than patients having non-obstetric surgery. The single leading cause of peri-operative cardiac arrest in obstetric patients was haemorrhage, with underestimated severity and inadequate early resuscitation being contributory factors. When taken together, anaesthetic causes, high neuraxial block and bradyarrhythmia associated with spinal anaesthesia were the leading causes overall. Two patients had a cardiac arrest related to labour neuraxial analgesia. There were no cardiac arrests related to failed airway management or remifentanil patient-controlled analgesia.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2024 |
|---|---|
| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:79 |
|---|---|
| Enthalten in: |
Anaesthesia - 79(2024), 5 vom: 08. Apr., Seite 514-523 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Lucas, D N [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
Anaesthesia |
|---|
| Anmerkungen: |
Date Completed 11.04.2024 Date Revised 11.04.2024 published: Print-Electronic Citation Status MEDLINE |
|---|
| doi: |
10.1111/anae.16204 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM367046172 |
|---|
| LEADER | 01000caa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM367046172 | ||
| 003 | DE-627 | ||
| 005 | 20240411232234.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 240114s2024 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1111/anae.16204 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n1372.xml |
| 035 | |a (DE-627)NLM367046172 | ||
| 035 | |a (NLM)38214067 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Lucas, D N |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Cardiac arrest in obstetric patients receiving anaesthetic care |b results from the 7th National Audit Project of the Royal College of Anaesthetists |
| 264 | 1 | |c 2024 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Completed 11.04.2024 | ||
| 500 | |a Date Revised 11.04.2024 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2024 The Authors. Anaesthesia published by John Wiley & Sons Ltd on behalf of Association of Anaesthetists. | ||
| 520 | |a The 7th National Audit Project (NAP7) of the Royal College of Anaesthetists studied peri-operative cardiac arrest. Additional inclusion criteria for obstetric anaesthesia were: cardiac arrest associated with neuraxial block performed by an anaesthetist outside the operating theatre (labour epidural analgesia); and cardiac arrest associated with remifentanil patient-controlled analgesia. There were 28 cases of cardiac arrest in obstetric patients, representing 3% of all cardiac arrests reported to NAP7, giving an incidence of 7.9 per 100,000 (95%CI 5.4-11.4 per 100,000). Obstetric patients were approximately four times less likely to have a cardiac arrest during anaesthesia care than patients having non-obstetric surgery. The single leading cause of peri-operative cardiac arrest in obstetric patients was haemorrhage, with underestimated severity and inadequate early resuscitation being contributory factors. When taken together, anaesthetic causes, high neuraxial block and bradyarrhythmia associated with spinal anaesthesia were the leading causes overall. Two patients had a cardiac arrest related to labour neuraxial analgesia. There were no cardiac arrests related to failed airway management or remifentanil patient-controlled analgesia | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a anaesthesia | |
| 650 | 4 | |a cardiac arrest | |
| 650 | 4 | |a epidural analgesia | |
| 650 | 4 | |a obstetric | |
| 650 | 7 | |a Remifentanil |2 NLM | |
| 650 | 7 | |a P10582JYYK |2 NLM | |
| 650 | 7 | |a Anesthetics |2 NLM | |
| 700 | 1 | |a Kursumovic, E |e verfasserin |4 aut | |
| 700 | 1 | |a Cook, T M |e verfasserin |4 aut | |
| 700 | 1 | |a Kane, A D |e verfasserin |4 aut | |
| 700 | 1 | |a Armstrong, R A |e verfasserin |4 aut | |
| 700 | 1 | |a Plaat, F |e verfasserin |4 aut | |
| 700 | 1 | |a Soar, J |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Anaesthesia |d 1947 |g 79(2024), 5 vom: 08. Apr., Seite 514-523 |w (DE-627)NLM000046280 |x 1365-2044 |7 nnns |
| 773 | 1 | 8 | |g volume:79 |g year:2024 |g number:5 |g day:08 |g month:04 |g pages:514-523 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1111/anae.16204 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 79 |j 2024 |e 5 |b 08 |c 04 |h 514-523 | ||