Cardiac arrest in obstetric patients receiving anaesthetic care: results from the 7th National Audit Project of the Royal College 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...
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| Veröffentlicht in: | Anaesthesia 2024-05, Vol.79 (5), p.514-523 |
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| creator | Lucas, D N Kursumovic, E Cook, T M Kane, A D Armstrong, R A Plaat, F Soar, J |
| description | 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. |
| doi_str_mv | 10.1111/anae.16204 |
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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.</description><identifier>ISSN: 0003-2409</identifier><identifier>EISSN: 1365-2044</identifier><identifier>DOI: 10.1111/anae.16204</identifier><identifier>PMID: 38214067</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>Analgesia ; Anesthesia ; Anesthesia, Obstetrical - adverse effects ; Anesthetics ; Anesthetists ; Cardiac arrest ; Female ; Heart ; Heart Arrest - epidemiology ; Heart Arrest - etiology ; Hemorrhage ; Humans ; Obstetrics ; Patients ; Pregnancy ; Remifentanil</subject><ispartof>Anaesthesia, 2024-05, Vol.79 (5), p.514-523</ispartof><rights>2024 The Authors. Anaesthesia published by John Wiley & Sons Ltd on behalf of Association of Anaesthetists.</rights><rights>2024. 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| subjects | Analgesia Anesthesia Anesthesia, Obstetrical - adverse effects Anesthetics Anesthetists Cardiac arrest Female Heart Heart Arrest - epidemiology Heart Arrest - etiology Hemorrhage Humans Obstetrics Patients Pregnancy Remifentanil |
| title | Cardiac arrest in obstetric patients receiving anaesthetic care: results from the 7th National Audit Project of the Royal College of Anaesthetists |
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