Cardiac arrest in a child during a combined general epidural anesthesia procedure
Abstract
An increased risk of perioperative cardiac arrestin children, in comparison to adults, has been
recognized. A number of factors associated
with perioperative cardiac arrest have been identified,
including young age, comorbidities, and emergency
surgery. Since anesthesia-related cardiac arrest is
uncommon, a multi-related database is required to
understand the mechanisms of cardiac arrest and to
develop preventive strategies. Most cardiac arrests
occur during induction (37%) or maintenance (45%)
of anesthesia, usually following one or more of the
following antecedent events, i.e., bradycardia (54%),
hypotension (49%), abnormality of oxygen saturation
as measured by pulse oximetry (48%), inability to
measure blood pressure (25%), abnormality of end-
tidal CO 2 (21%), cyanosis (21%), or arrhythmia
(18%). In 11% of cases, cardiac arrest occurred
without recognized warning. There are only few
reports in the literature, and in Kariadi Hospital, none
has ever been reported. The aim of this report is to
identify and discuss possible causes of cardiac arrest
and to anticipate its complications.
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Accepted 2016-10-06
Published 2016-10-10