Year 2008 Vol. 16 No 4

ANESTHESIOLOGY-REANIMATOLOGY

MARACHKOV A.V., SOLOVEI E.YU., PROTASEVICH P.V.

INTRA-OPERATIVE AND ANESTHESIOLOGICAL LETHALITY AS THE MAIN CRITERIA OF THE ANESTHESIOLOGISTS ACTIVITY EFFICACY

The aim of this research was to determine the amount and dynamics of lethal outcomes, which occurred on the operation table as well as to detect anesthesiological lethality and to work out the measures for its prevention. The cases of death on the operative table during the period from 1975 to 2006 were retrospectively studied. 99 cases of the intra-operative lethality for 32 years were analyzed, including 89 case histories, anesthesia protocols, and autopsy data of the dead.
283 3666 surgeries were carried out for this period of time (26 562 emergent ones and 258 804 planned ones), and anesthesiologists performed 149 363 anesthesias. The most significant criteria objectively reflecting the results of anesthesiologists work are: a) intra-operative lethality during planned operations concerning the disease; b) anesthesiological lethality. During the period from 1991 till 2006 intra-operative lethality during planned operations concerning the diseases made up 0,2 cases on 10 000 planned operations. Anesthesiological lethality decreased from the figure of 1 case on 6 700 anesthesias to the figure of 1 case on 82 200 anesthesias in the period of 1991–2006.

Keywords: intra-operative lethality, anesthesiological lethality, efficacy of anesthesiologists work.
p. 99 – 107 of the original issue
References
  1. Ле6едева, Р. Н. Остановка кровообращения как осложнение ближайшего послеоперационного периода / Р. Н. Ле6едева, Л. В. Божьева, В. В. Аббакумов // Анестезиология и реаниматология. – 1987. – № 6. – С. 30-37.
  2. О причинах смерти на операционном столе / Б. С. Уваров [и др.] // Анестезиология и реаниматология. – 1985. – № 5. – С. 3-5.
  3. Holland, R. Anesthesia – related mortality in Australia // International Anesthesiology Clinics. – 1984 – Vol. 22, N 2. – P. 61-71.
  4. Death in the operating room: an analysis of a multi-center experience / D. B. Hoyt [et al.] // Journal of Trauma. – 1994. – Vol. 37, N 3. – P. 426-432.
  5. Frequency of anesthetic cardiac arrest and death in the operating room at a single general hospital over a 30-year period / Y. Kubota [et al.] // Journal Clin. Anesth. – 1994. – Vol. 6, N 3. – P. 227-238.
  6. Marochkov, A. V. Death in the operating room / A. V. Marochkov, E. Solovey // Abstract book of 13th World Congress of Anesthesiologist. – Paris, 2004. – P. 500.
  7. Элленхорн, М. Д. Медицинская токсикология: диагностика и лечение отравлений у человека: пер. с англ. / М. Д. Элленхорн. – 2003. – Т. 2. – С. 203-243.
Contacts | ©Vitebsk State Medical University, 2007-2023