Intraoperative Cardiac Arrest
Conditions
Keywords
CPR, cardiac arrest, operating room
Brief summary
In the last ten years patient safety during routine surgical interventions has increased; however as there is an increase in the number of specialized surgical interventions and high risk patients like elderly and emergency patients, the incidence of perioperative cardiac arrest has not reduced but remains fixed. The incidence of perioperative cardiac arrest varies from 4.3-34.6 for each 10,000 procedures. However as in a lot of other countries exact data are lacking also for Turkey. With this study the investigators want to start collecting data about intraoperative cardiac arrest in Turkey, starting at their institution The aim is to evaluate the incidence and outcome in the study. Secondary aim is to assess the causes of cardiac arrest in the operating room.
Detailed description
Patient information will be collected on a form entitled Data collection form including all medications and interventions during cardiopulmonary resuscitation and routine daily used anesthesia registration form.
Interventions
start cardiopulmonary resuscitation
Sponsors
Study design
Eligibility
Inclusion criteria
* All patients who develop cardiac arrest in the operating room
Exclusion criteria
* Absence of informed consent * Patients arriving into the operating room with ongoing CPR
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| incidence of intraoperative cardiac arrest | baseline |
| neurologic outcome of patients according to Cerebral performance category scale | until six months after return of spontaneous circulation |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| causes of intraoperative cardiac arrest among participants/patients | baseline | Probable causes of intraoperative cardiac arrest among participants/patients 1. Trauma 2. End stage liver disease and complications associated with liver transplantation 3. Unable to wean from cardiopulmonary bypass 4. Complications associated with cardiac surgery 5. Ruptured aneurysm; abdominal or thoracic 6. Technical complications: surgical and special procedures, central venous access 7. Complications associated with automatic implantable cardiac defibrillator placement 8. Hemorrhage 9. Complications associated with radical cancer surgery 10. Sepsis and multiple organ failure 11. Perioperative myocardial infarction 12. Complications associated with congenital heart defect 13. Complications associated with neurosurgery 14. Complications associated with Anaesthesia (anaphylaxis, difficult airway management/difficult ventilation, adverse drug, total spinal anaesthesia/bloc etc) |
Countries
Turkey (Türkiye)