Comparative characteristic of risks for developing of adverse events and critical incidents during general and regional anesthesia. The analysis of 6 year clinical practice

V. V Logvinenko , Natalia P. Shen’

Regional Anesthesia and Acute Pain Management ›› 2015, Vol. 9 ›› Issue (2) : 22 -28.

PDF
Regional Anesthesia and Acute Pain Management ›› 2015, Vol. 9 ›› Issue (2) : 22 -28. DOI: 10.17816/RA36250
Articles
research-article

Comparative characteristic of risks for developing of adverse events and critical incidents during general and regional anesthesia. The analysis of 6 year clinical practice

Author information +
History +
PDF

Abstract

The goal of the study was to compare incidence and structure of adverse events and critical incidents during general and regional anesthesia (RA) in hospitals of Tyumen' town and Tyumen' region in 2008-2013. It was revealed that the incidence of adverse events was significantly higher for RA in comparison with general anesthesia both in annual samples and in total sample. However the frequency of critical incidents was significantly lower for RA comparing with general anesthesia. The results suppose that Ra isn't absolutely safe method but the percentage of critical incidents following RA is decreasing as percentage of RA is increasing in analgesia structure. When analgesia risk is assessed it is important to highlight not only adverse events but also critical incidents the might be bounded with life-threatening prognosis much more tightly.

Keywords

regional anesthesia / complications of regional anesthesia

Cite this article

Download citation ▾
V. V Logvinenko, Natalia P. Shen’. Comparative characteristic of risks for developing of adverse events and critical incidents during general and regional anesthesia. The analysis of 6 year clinical practice. Regional Anesthesia and Acute Pain Management, 2015, 9(2): 22-28 DOI:10.17816/RA36250

登录浏览全文

4963

注册一个新账户 忘记密码

References

[1]

Gibbs N.M., Rodoreda P. Primary anaesthetic deaths in Western Australia from 1985-2008: causation and preventability. Anaesth Intensive Care. 2013 May; 41(3): 302-310.

[2]

Gibbs N.M. National anaesthesia mortality reporting in Australia from 1985-2008. Anaesth Intensive Care. 2013 May; 41(3): 294-301.

[3]

Hove L.D., Steinmetz J., Christoffersen J.K., M0ller A., Nielsen J., Schmidt H. Analysis of deaths related to anesthesia in the period 1996-2004 from closed claims registered by the Danish Patient Insurance Association. Anesthesiology. 2007 Apr; 106(4): 675-680.

[4]

Aitkenhead A.R. Injuries associated with anaesthesia. A global perspective. Br. J. Anaesth. (July 2005) 95 (1): 95-109.

[5]

Tiret L., Desmonts J.M., Hatton F., Vourc'h G. Complications associated with anaesthesia - a prospective survey in France. Can Anaesth Soc J. 1986; 33: 336-344.

[6]

Amanda Pinder. Complications of obstetric anaesthesia. Current Anaesthesia & Critical Care. (2006) 17, 151-162.

[7]

Ashok Jadon. Complications of regional and general anaesthesia in obstetric practice. Indian J Anaesth. 2010 Sep-Oct; 54(5): 415-420.

[8]

Baron J., Decaux-Jacolot A. Influence of venous return on baroreflex control of heart rate during lumber spinal and epidural anesthesia in humans. Anesthesiology. 1986; 64: 188-193.

[9]

Hanss R., Bein B., Francksen H., Scherkl W., Bauer M., Doerges V. et al. Heart rate variability-guided prophylactic treatment of severe hypotension after subarachnoid block for elective cesarean delivery. Anesthesiology. 2006; 104: 635-643. [PubMed]

[10]

Dyer R.A., Farina Z., Joubert I.A., Du Toit P., Meyer M., Torr G. et al. Crystalloid preload versus rapid crystalloid administration after induction of spinal anaesthesia (Co-load) for elective Caesarean section. Anaesth Intensive Care. 2004; 32: 351-357.

[11]

Pouta A.M., Karinen J., Vuolteenaho O.J., Laatikainen T.J. Effect of intravenous fluid preload on vasoactive peptide secretion during Caesarean section under spinal anesthesia. Anaesthesia. 1996; 51: 28-32. [PubMed]

[12]

Burns S.M., Cowan C.M., Wilkes R.G. Prevention and management of hypotension during spinal anaesthesia for elective caesarean section: a survey of practice. Anaesthesia. 2001; 56: 777-798.

[13]

Auroy Y., Narchi P., Messiah A. et al. Serious complications related to regional anesthesia: results of a prospective survey in France. Anesthesiology 1997; 87: 479-486.

[14]

Auroy Y., Benhamou D., Bargues L., Ecoffey C., Falissard B., Mercier F.J., Bouaziz H., Samii K., Mercier F. Major complications of regional anesthesia in France: The SOS Regional Anesthesia Hotline Service. Anesthesiology 2002; 97: 1274-1280

[15]

Wulf H., Biscoping J., Beland B. et al. Ropivacaine epidural anesthesia and analgesia versus general anesthesia and intravenous patient-controlled analgesia with morphine in the perioperative management of hip replacement. Ropivacaine Hip Replacement Multicenter Study Group. Anesth Analg 1999; 89: 111-116.

[16]

Rodgers A., Walker N., Schug S. et al. Reduction of postoperative mortality and morbidity with epidural or spinal anaesthesia: results from overview of randomised trials. The British Medical Journal. 2000; 321, (7275): 1493-1497.

[17]

Lee L.A., Posner K.L., Domino K.B., Caplan R.A., Cheney F.W. Injuries associated with regional anesthesia in the 1980s and 1990s: a closed claims analysis. Anesthesiology. 2004; 101: 143-152.

[18]

Boezaart A.P., Tighe P. New trends in regional anesthesia for shoulder surgery: Avoiding devastating complications. Review article. International journal of shoulder surgery. 2010; 4: (1): 1-7.

RIGHTS & PERMISSIONS

Eco-Vector

AI Summary AI Mindmap
PDF

45

Accesses

0

Citation

Detail

Sections
Recommended

AI思维导图

/