Anesthesia Safety: Model or Myth?: A Review of the Published Literature and Analysis of Current Original Data

@article{Lagasse2002AnesthesiaSM,
  title={Anesthesia Safety: Model or Myth?: A Review of the Published Literature and Analysis of Current Original Data},
  author={Robert S. Lagasse},
  journal={Anesthesiology},
  year={2002},
  volume={97},
  pages={1609-1617}
}
  • R. Lagasse
  • Published 1 December 2002
  • Medicine
  • Anesthesiology
Anesthesia Safety: Model or Myth?: A Review of the Published Literature and Analysis of Current Original Data Robert Lagasse; Anesthesiology 

Topics from this paper

Perioperative mortality: intraoperative anesthetic management matters.
OBVIOUSLY, we all wish for our patients to do well. We learn about our patients’ comorbidities and develop anesthetic plans that impress colleagues and oral board examiners. We make efforts toExpand
Characteristics of 1‐day postoperative mortality: a comparison with 2‐ to 7‐day postoperative mortality
The purpose of this study was to determine causes and characteristics of early postoperative mortality focusing on postoperative day 1 (POD 1).
Outcomes of pediatric anesthesia.
  • G. Hoffman
  • Medicine
  • Seminars in pediatric surgery
  • 2008
TLDR
Outcomes of pediatric anesthesia have improved, but universal outcome measures are lacking and future improvement efforts will necessarily involve multiple disciplines, institutions, and regions, and will require sophisticated systems approaches. Expand
Closed claims studies in anesthesia: a literature review and implications for practice.
TLDR
Historically, closed malpractice claims have been used to identify and examine potential causes for adverse anesthesia outcomes, and the nature of the data makes it inappropriate for calculation or comparison of risk. Expand
Perioperative mortality of pediatric surgical patients in a developing country: Incidence and Etiology
TLDR
Pannus and thrombus are common in etiopathogenesis and mechanical valve obstruction is a rather fatal complication. Expand
The occurrence of intra‐operative hypotension varies between hospitals: observational analysis of more than 147,000 anaesthesia
TLDR
Examining hospital variations in the occurrence of intra‐operative hypotension and its predictors determined to what extent hypotension relates to the risk of post‐operative incidents and death. Expand
Sedation and Anesthesia for the Adolescent Dental Patient.
TLDR
This article focuses on sedation/anesthesia of adolescent patients in the dental setting, and discusses commonly administered agents and techniques to adolescents, including nitrous oxide/oxygen analgesia. Expand
Impact of anesthesia management characteristics on severe morbidity and mortality: are we convinced?
TLDR
The issue of interpretation of statistics comes to the forefront in the study by Arbous et al. and the accompanying editorial by Warner, and differences in anesthetic management processes between the two groups seem more coincidentally associated than causative. Expand
Mortality in Anesthesia: A Systematic Review
TLDR
It is shown that perioperative mortality rates are higher in Brazil than in developed countries, while anesthesia-related mortality rates is similar in Brazil and in developing countries. Expand
Anesthesia-related mortality in pediatric patients: a systematic review
TLDR
The systematic review of the literature shows that the pediatric anesthesia-related mortality rates in Brazil and in developed countries are similar, whereas the pediatric perioperative mortality rates are higher in Brazil compared with developed countries. Expand
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 60 REFERENCES
Factors influencing the reporting of adverse perioperative outcomes to a quality management program.
TLDR
This work compared reporting sources and identified factors that might improve data capture that have been identified in quality management programs to identify adverse perioperative outcomes. Expand
Anesthesia mortality in private practice. A ten-year study.
A total of 114,866 anesthetics was administered over a ten-year period (1955 to 1964) by a group of anesthesiologists in private practice. Of this total, 1,027 patients did not survive theirExpand
A study of the deaths associated with anesthesia and surgery: based on a study of 599, 548 anesthesias in ten institutions 1948-1952, inclusive.
TLDR
The death rate (and why deaths occurred) attributable to anesthesia whether due to agent or technique or to their misapplications is determined and the responsibility of the anesthetist in the total care of the surgical patient when failure occurred is assessed. Expand
Frequency of anesthetic cardiac arrest and death in the operating room at a single general hospital over a 30-year period.
TLDR
The results of 30 years' experience do not support the hypothesis that all anesthetic CAs and deaths are preventable, however, careful clinical management can reduce their frequency to a level lower than those reported in the referenced literature. Expand
The Canadian four-centre study of anaesthetic outcomes: II. Can outcomes be used to assess the quality of anaesthesia care?
TLDR
M measuring quality of care in anaesthesia by comparing major outcomes is unsatisfactory since the contribution of anaesthesia to perioperative outcomes is uncertain and that variations may be explained by institutional differences which are beyond the control of the anaesthetist. Expand
Possible decrease in mortality associated with anaesthesia A comparison of two time periods in Massachusetts, USA
TLDR
There appears to be approximately a thirteenfold decrease in the death rate after general anaesthesia and a tenfold decrease after spinal anaesthesia in Massachusetts USA, during two periods of time separated by 13 years. Expand
Report of the Anaesthetic Mortality Committee of Western Australia 1990-1995
TLDR
The structure and function of the Anaesthetic Mortality Committee of Western Australia are described and it is determined that, in 21 cases, anaesthesia played a significant part in the death of the patient. Expand
A prospective study of mortality associated with anaesthesia and surgery: risk indicators of mortality in hospital
TLDR
A model for prediction of mortality risk was developed that included five significant preoperative predictive variables; age; patients with history of chronic heart disease, and renal disease; emergency surgery; and the type of operation. Expand
Mortality associated with anaesthesia at Zimbabwean teaching hospitals
TLDR
This audit reveals that there were avoidable factors in 51% of peri-operative deaths, and it should be possible to reduce the mortality rate by developing preventive measures. Expand
Defining Quality of Perioperative Care by Statistical Process Control of Adverse Outcomes
TLDR
Outcome of anesthesia services and perioperative care is in statistical control and therefore stable, and the major determinant of patient care quality is the system through which services are delivered and not the individual anesthesia care provider. Expand
...
1
2
3
4
5
...