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
  • Linguistics
  • Anesthesiology
Anesthesia Safety: Model or Myth?: A Review of the Published Literature and Analysis of Current Original Data Robert Lagasse; Anesthesiology 

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 to

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
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.

Closed claims studies in anesthesia: a literature review and implications for practice.

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.

The occurrence of intra‐operative hypotension varies between hospitals: observational analysis of more than 147,000 anaesthesia

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.

Impact of anesthesia management characteristics on severe morbidity and mortality: are we convinced?

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.

Mortality in Anesthesia: A Systematic Review

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.

Anesthesia management and perioperative mortality.

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.

Anesthesia-related mortality in pediatric patients: a systematic review

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.
...

References

SHOWING 1-10 OF 58 REFERENCES

Factors influencing the reporting of adverse perioperative outcomes to a quality management program.

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.

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 their

A study of the deaths associated with anesthesia and surgery: based on a study of 599, 548 anesthesias in ten institutions 1948-1952, inclusive.

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.

Mortality associated with anaesthesia

The present review suggests that supervision and training of junior staff, decision‐making by senior staff and patterns of communication both within and between specialities are areas which should be selected for further research.

Frequency of anesthetic cardiac arrest and death in the operating room at a single general hospital over a 30-year period.

The Canadian four-centre study of anaesthetic outcomes: II. Can outcomes be used to assess the quality of anaesthesia care?

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.

Possible decrease in mortality associated with anaesthesia A comparison of two time periods in Massachusetts, USA

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.

Report of the Anaesthetic Mortality Committee of Western Australia 1990-1995

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.

A prospective study of mortality associated with anaesthesia and surgery: risk indicators of mortality in hospital

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.

Mortality associated with anaesthesia at Zimbabwean teaching hospitals

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.
...