@article {1080,
	title = {Anesthetic-related cardiac arrest and its mortality: a report covering 72,959 anesthetics over 10 years from a US teaching hospital},
	journal = {Anesthesiology},
	volume = {97},
	year = {2002},
	note = {Newland, Myrna C Ellis, Sheila J Lydiatt, Carol A Peters, K Reed Tinker, John H Romberger, Debra J Ullrich, Fred A Anderson, James R Anesthesiology. 2002 Jul;97(1):108-15.},
	month = {Jul},
	pages = {108 - 15},
	type = {Research Support, Non-U.S. Gov{\textquoteright}t},
	edition = {37457},
	abstract = {BACKGROUND: A prospective and retrospective case analysis study of all perioperative cardiac arrests occurring during a 10-yr period from 1989 to 1999 was done to determine the incidence, cause, and outcome of cardiac arrests attributable to anesthesia. METHODS: One hundred forty-four cases of cardiac arrest within 24 h of surgery were identified over a 10-yr period from an anesthesia database of 72,959 anesthetics. Case abstracts were reviewed by a Study Commission composed of external and internal members in order to judge which cardiac arrests were anesthesia-attributable and which were anesthesia-contributory. The rates of anesthesia-attributable and anesthesia-contributory cardiac arrest were estimated. RESULTS: Fifteen cardiac arrests out of a total number of 144 were judged to be related to anesthesia. Five cardiac arrests were anesthesia-attributable, resulting in an anesthesia-attributable cardiac arrest rate of 0.69 per 10,000 anesthetics (95\% confidence interval, 0.085-1.29). Ten cardiac arrests were found to be anesthesia-contributory, resulting in an anesthesia-contributory rate of 1.37 per 10,000 anesthetics (95\% confidence interval, 0.52-2.22). Causes of the cardiac arrests included medication-related events (40\%), complications associated with central venous access (20\%), problems in airway management (20\%), unknown or possible vagal reaction in (13\%), and one perioperative myocardial infarction. The risk of death related to anesthesia-attributable perioperative cardiac arrest was 0.55 per 10,000 anesthetics (95\% confidence interval, 0.011-1.09). CONCLUSIONS: Most perioperative cardiac arrests were related to medication administration, airway management, and technical problems of central venous access. Improvements focused on these three areas may result in better outcomes.},
	keywords = {Adolescent, Adult, Aged, Aged, 80 and over, Anesthetics / *adverse effects, Child, Child, Preschool, Female, Heart Arrest / *chemically induced / mortality, Hospitals, Teaching, Humans, Infant, Logistic Models, Male, Middle Aged},
	issn = {0003-3022 (Print) 0003-3022 (Linking)},
	author = {Newland,M. C. and Ellis,S. J. and Lydiatt,C. A. and Peters,K. R. and Tinker,J. H. and Romberger,D. J. and Ullrich,F. A. and Anderson,J. R.}
}
