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Perioperative cardiac arrest: an evolutionary analysis of the intra-operative cardiac arrest incidence in tertiary centers in Brazil

Overview of attention for article published in Brazilian Journal of Anesthesiology (English edition), March 2016
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Title
Perioperative cardiac arrest: an evolutionary analysis of the intra-operative cardiac arrest incidence in tertiary centers in Brazil
Published in
Brazilian Journal of Anesthesiology (English edition), March 2016
DOI 10.1016/j.bjane.2014.06.007
Pubmed ID
Authors

Matheus Fachini Vane, Rafael Ximenes do Prado Nuzzi, Gustavo Fabio Aranha, Vinicius Fernando da Luz, Luiz Marcelo Sá Malbouisson, Maria Margarita Castro Gonzalez, José Otávio Costa Auler, Maria José Carvalho Carmona

Abstract

Great changes in medicine have taken place over the last 25 years worldwide. These changes in technologies, patient risks, patient profile, and laws regulating the medicine have impacted the incidence of cardiac arrest. It has been postulated that the incidence of intraoperative cardiac arrest has decreased over the years, especially in developed countries. The authors hypothesized that, as in the rest of the world, the incidence of intraoperative cardiac arrest is decreasing in Brazil, a developing country. The aim of this study was to search the literature to evaluate the publications that relate the incidence of intraoperative cardiac arrest in Brazil and analyze the trend in the incidence of intraoperative cardiac arrest. There were 4 articles that met our inclusion criteria, resulting in 204,072 patients undergoing regional or general anesthesia in two tertiary and academic hospitals, totalizing 627 cases of intraoperative cardiac arrest. The mean intraoperative cardiac arrest incidence for the 25 years period was 30.72:10,000 anesthesias. There was a decrease from 39:10,000 anesthesias to 13:10,000 anesthesias in the analyzed period, with the related lethality from 48.3% to 30.8%. Also, the main causes of anesthesia-related cause of mortality changed from machine malfunction and drug overdose to hypovolemia and respiratory causes. There was a clear reduction in the incidence of intraoperative cardiac arrest in the last 25 years in Brazil. This reduction is seen worldwide and might be a result of multiple factors, including new laws regulating the medicine in Brazil, incorporation of technologies, better human development level of the country, and better patient care.

Mendeley readers

The data shown below were compiled from readership statistics for 19 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 19 100%

Demographic breakdown

Readers by professional status Count As %
Other 4 21%
Student > Doctoral Student 2 11%
Researcher 2 11%
Lecturer 1 5%
Student > Ph. D. Student 1 5%
Other 3 16%
Unknown 6 32%
Readers by discipline Count As %
Medicine and Dentistry 9 47%
Environmental Science 1 5%
Pharmacology, Toxicology and Pharmaceutical Science 1 5%
Unknown 8 42%