Periodicidad semestral: flujo continuo.
ISSN - Electrónico: 2661-6947 / DOI: 10.36015 • LILACS BIREME (19784); LATINDEX (20666)
The roots of security go to the base of anesthesiology; it refers to prevent, avoid and lessen the adverse outcomes or injuries derived from processes of health care. Security derives from interactions between system components; it doesn’t reside in one only person, dispositive or department. Complications related to anesthesia are inevitable, including the most experimented, diligent and careful anesthesiologist will have to deal with complications despite
acting according to standards. These complications vary from minors such as intravenous line infiltration to catastrofical like a cerebral hipoxic lesion or including death.
A one year descriptive study was carried out at Hospital Carlos Andrade Marin (HCAM), to register the number of complications in the operating room and compare it with the previous year. The
aim of this study was to determine if there was an improvement in terms of the number of incidents and identify the variables that may have caused them.
The number of surgical procedures carried out at the HCAM’s operating room between december 2011 and november 2012 was 18.246. In comparison, this year there were a total of 16.919
surgical procedures. In the first period, 14.113 were previously scheduled procedures and 5.950 emergencies; while this year there were 13.539 scheduled procedures and 5.043 emergencies.
The previous year there were 25 (0,13%) reported cases of complications, 15 (0,1%) of those ocurred during scheduled procedures and 10 (0,16%) in emergency procedures. This year
38 (0,21%) cases were reported, of wich, 27 (0,15%) happened during scheduled surgeries and 11 (0,06%) in emergencies. By looking at this, we can infer there was an increase in reported
incidents, maybe due to the increased awarness of the incidents or to a better control of them. The mortality the previous year was 28% (7 dead), of wich 3 cases were related to anesthetic
maneuvers, the remaining cases were related to other causes, not specifically anesthetics. This year mortality has reduced proportionally (6 dead), corresponds to 15,8% and non of them
correspond to anesthetic cause.
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