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Original ArticleOpen Access
Perioperative Cardiac Arrest at Siriraj Hospital Between 1999-2001
Aroonpruksakul N 
,
Raksakiatisak M ,
Thapenthai Y ,
Wangtawesaup K ,
Chaiwat O ,
Vacharaksa K
,
Raksakiatisak M ,
Thapenthai Y ,
Wangtawesaup K ,
Chaiwat O ,
Vacharaksa K MANEE RAKSAKIATISAK, M.D.*,
KEMCHART WANGTAWESAUP,M.D.*,
KAMHEANG VACHARAKSA, M.D.*
Cardiac arrest during the perioperative period is a good indicator of the quality of anesthetic
management. The incidence of peri operative cardiac arrest in Siriraj Hospital hasn't been reported
before. Our objectives were to determine the incidence of perioperative anesthesia-related cardiac
arrest and the results of cardiopulmonary resuscitation in these cases in order to find out how to
improve our anesthetic care. This prospective study was undertaken between 1999-2001 by sending
a questionnaire to those witnessing a cardiac arrest. The incidence of perioperative cardiac arrest was
8.2 : 10,000 instances of anesthesia with a mortality of 5.6 : 10,000 within 48 hours of the arrest. The
incidence of perioperative cardiac arrest that was related to anesthesia was 0.7 : 10,000 instances
of anesthesia and the anesthesia related mortality was 0.19 :
I
0,000 within 48 hours of arrest. Failed
cardiopulmonary resuscitation occurred in of occasions 41.7 per cent. There was no difference between
intraoperative and postoperative cardiopulmonary resuscitation. Twenty-one per cent of patients
experiencing a cardiac arrest were discharged from hospital. Seventy-three per cent of events occurred
in patients with an ASA rating 3-5 and most often the cause of arrest was massive or uncontrolled
bleeding. In those patients with an ASA rating l-2 there were no outstanding cause of arrest.
Key word : Cardiac Arrest, Perioperative Period, Anesthetic Quality, Incidence, Resuscitation
KEMCHART WANGTAWESAUP,M.D.*,
KAMHEANG VACHARAKSA, M.D.*
Cardiac arrest during the perioperative period is a good indicator of the quality of anesthetic
management. The incidence of peri operative cardiac arrest in Siriraj Hospital hasn't been reported
before. Our objectives were to determine the incidence of perioperative anesthesia-related cardiac
arrest and the results of cardiopulmonary resuscitation in these cases in order to find out how to
improve our anesthetic care. This prospective study was undertaken between 1999-2001 by sending
a questionnaire to those witnessing a cardiac arrest. The incidence of perioperative cardiac arrest was
8.2 : 10,000 instances of anesthesia with a mortality of 5.6 : 10,000 within 48 hours of the arrest. The
incidence of perioperative cardiac arrest that was related to anesthesia was 0.7 : 10,000 instances
of anesthesia and the anesthesia related mortality was 0.19 :
I
0,000 within 48 hours of arrest. Failed
cardiopulmonary resuscitation occurred in of occasions 41.7 per cent. There was no difference between
intraoperative and postoperative cardiopulmonary resuscitation. Twenty-one per cent of patients
experiencing a cardiac arrest were discharged from hospital. Seventy-three per cent of events occurred
in patients with an ASA rating 3-5 and most often the cause of arrest was massive or uncontrolled
bleeding. In those patients with an ASA rating l-2 there were no outstanding cause of arrest.
Key word : Cardiac Arrest, Perioperative Period, Anesthetic Quality, Incidence, Resuscitation
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