Cardiac arrest in obstetric patients receiving anaesthetic care: results from the 7th National Audit Project of the Royal College of Anaesthetists
Study context
- Population
- Obstetric patients receiving anaesthetic care, including cardiac arrest associated with labour epidural analgesia or remifentanil PCA
- Participants
- 28 cardiac arrests
- Outcome
- Incidence of peri-operative cardiac arrest in obstetric patients
Methodological detailsprospective observational study, Royal College of Anaesthetists 7th National Audit Project
- Prospective observational study
- Royal College of Anaesthetists 7th National Audit Project
Main finding
As reported in the abstract
Incidence of cardiac arrest in obstetric patients
Incidence per 100,000
7.9
95%CI per 100,000
5.4-11.4
Proportion of all cardiac arrests reported to National Audit Project (NAP7)
3%
Observational data: associations, not effects.
Further findings
Causes of peri-operative cardiac arrest in obstetric patients
- Cardiac arrests related to labour neuraxial analgesia
- 2
- Obstetric patients approximately four times less likely to have a cardiac arrest during anaesthesia care than patients having non-obstetric surgery
- Single leading cause: haemorrhage, with underestimated severity and inadequate early resuscitation contributory
- Anaesthetic causes, high neuraxial block and bradyarrhythmia associated with spinal anaesthesia, taken together, the leading causes overall
- No cardiac arrests related to failed airway management or remifentanil PCA
Original publication
Cardiac arrest in obstetric patients receiving anaesthetic care: results from the 7th National Audit Project of the Royal College of Anaesthetists. Anaesthesia. Published 12 January 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →