Analysis of expert consultation referrals for anesthesia-related issues (December 2008-july 2010): KSA legislation committee report

Kook Hyun Lee, Tae Hun An, Jong Ho Choi, Dong Gun Lim, Yeong Ju Lee, Duk Kyung Kim

研究成果: Contribution to journalArticle

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Background: Since 2009, database construction of anesthesia-related adverse events has been initiated through the legislation committee of the Korean Society of Anesthesiologists (KSA), based on expert consultation referrals provided by police departments, civil courts, and criminal courts. Methods: This study was a retrospective descriptive analysis of expert consultation referrals on surgical anesthesia-related cases between December 2008 and July 2010. Results: During the given period, 46 surgical anesthesia-related cases were referred to the KSA legislation committee for expert consultation. Because six cases were excluded due to insufficient data, 40 cases were included in the final analysis. Of 40 cases, 29 (72.5%) resulted in death. Respiratory events were most common in both surviving/disabled and dead patients (36.4 vs. 51.7%, respectively; P > 0.05). Overall, respiratory depression due to the drugs used for monitored anesthesia care (MAC) was the most common specific mechanism (25%), in which all but one case (profound brain damage) resulted in death. In all of these cases, surgeons or physicians provided MAC without the help of anesthesiologists. Conclusions: Overall, the most common damaging mechanism was related to respiratory depression due to sedatives or anesthetics used for MAC. Almost all MAC injury cases are believed to be preventable with the use of additional or better monitoring and an effective response to initial physiological derangement. Thus, it is essential to establish practical MAC guidelines and adhere to these guidelines strictly to reduce the occurrence of severe anesthesia-related adverse outcomes.

元の言語英語
ページ(範囲)260-265
ページ数6
ジャーナルKorean Journal of Anesthesiology
60
発行部数4
DOI
出版物ステータス出版済み - 4 2011

All Science Journal Classification (ASJC) codes

  • Anesthesiology and Pain Medicine

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