The effect of unanticipated perioperative death on anesthesiologists

Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie
Joanne TodescoJames Capstick

Abstract

Unanticipated perioperative death (UPD) is a significant event for the anesthesiologist that has not been widely studied. An anonymous questionnaire was used to obtain information about the frequency of UPD, anesthesiologists' most significant UPD, and their opinions regarding UPD. A questionnaire was mailed to all anesthesiologists who were registered with the College of Physicians and Surgeons of Alberta in 2005 (n = 285). The study achieved a 63% response rate. Sixty-four percent of respondents had been in practice for more than ten years, and 53% of respondents had experienced at least one UPD. After the UPD, 46% of the respondents performed further elective cases the same day, although 62% of them indicated that this was not advisable. Personal consequences were reported. Twenty-five percent felt they were being blamed for the event, and 10% thought about the UPD on a daily basis for more than a year afterwards. Mortality and morbidity reviews were common, and disciplinary consequences occurred infrequently. Sixty-four percent of anesthesiologists' most significant UPDs were elective cases. The etiology of death was thought to be anesthesia-related in only 11% of the UPDs. Although most respondents agreed that supportive a...Continue Reading

References

May 1, 1997·Anaesthesia·A R Aitkenhead
Apr 17, 2001·BMJ : British Medical Journal·I C Smith, M W Jones
Sep 21, 2002·Lancet·Arnold A P van EmmerikPaul M G Emmelkamp
Jul 9, 2003·Anaesthesia·Stuart M White
Jan 22, 2004·BMJ : British Medical Journal·Antony R GoldstoneSamer A M Nashef
Dec 2, 2005·European Journal of Anaesthesiology·S M White, O Akerele

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Citations

Dec 17, 2014·International Journal of Obstetric Anesthesia·S D Pratt, B R Jachna
Nov 23, 2018·Evidence-based Nursing·Daniel Rodger, Heather Hartley
Nov 1, 2020·Anesthesiology Clinics·Alexander F ArriagaMay C M Pian-Smith
Mar 27, 2021·BMJ Quality & Safety·Yun-Yun K Chen, Alexander Arriaga

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