Cardiothoracic & vascular anesthesia
Cardiac arrest in vascular surgical patients receiving anaesthetic care: an analysis from the 7th National Audit Project ( NAP7 ) of the Royal College of Anaesthetists
Authors' conclusion
This is the first analysis of the incidence, management and outcomes of peri-operative cardiac arrest during vascular anaesthesia in the UK.
Study context
- Population
- Vascular surgical patients receiving anaesthetic care in the UK with peri-operative cardiac arrest
- Participants
- 69 cardiac arrests
- Outcome
- Incidence of peri-operative cardiac arrest during vascular anaesthesia
Methodological detailssubgroup analysis of NAP7, 12-month case registry, national audit, 16 June 2021 to 15 June 2022
- Subgroup analysis of NAP7
- 12-month case registry
- National audit
- 16 June 2021 to 15 June 2022
Main finding
As reported in the abstract
Incidence of peri-operative cardiac arrest in vascular anaesthesia
Estimated incidence per vascular anaesthetics
1 in 670
95% CI 1 in 520–830
Share of all reported peri-operative cardiac arrests
8%
Share of UK anaesthetic caseload
2%
Observational data: associations, not effects.
Further findings
Patient characteristics
- ASA physical status 4
- 30 (43%)
- ASA physical status 5
- 19 (28%)
- Aged > 65 y
- 80%
- Non-elective surgery
- 57 (83%)
- Ruptured abdominal aortic aneurysm
- 28 (41%)
Procedures
- Aortic surgery
- 38 (55%)
- Lower-limb revascularisation
- 13 (19%)
- Lower-limb amputation
- 8 (12%)
Outcome at time of reporting · time of reporting to NAP7
- Died
- 48 (70%)
- Still in hospital
- 11 (16%)
- Poorer outcomes vs non-vascular surgical cohort
Cause of cardiac arrest
- Major haemorrhage (most common cause)
- 39 (57%)
Original publication
Cardiac arrest in vascular surgical patients receiving anaesthetic care: an analysis from the 7th National Audit Project ( NAP7 ) of the Royal College of Anaesthetists. Anaesthesia. Published 4 January 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →