THE INCIDENCE OF CRITICAL INCIDENTS AND OPERATIVE MORTALITY IN A CEE CLASS HOSPITAL

Abstract

Objective: To determine the incidence of critical incidents and operative mortality in a CEE Class (100 bedded) Hospital and to set reference values to assess quality of anesthesia related health care in future.

Study Design: A retrospective study.

Place and Duration of Study: This study was carried out in the Department of Anesthesia and Pain Management, Pakistan Air Force Hospital Sargodha, and retrospective data of all surgical patients from Jan 2014 to Dec 2015 were studied.

Material and Methods: Two year data of all surgical patients including gynecology, obstetrics, otolaryngology, ophthalmology, orthopedics, psychiatry and emergency surgery were included in the study. Patients’ documents were evaluated retrospectively for any critical incident and operative mortality and to determine whether anesthesia solely was responsible for the adverse event or patient co-morbid condition had any contribution.

Results: During the two year study period 20,293 patients were given either general or regional anesthesia. Out of these 20,293 patients, critical incidents were reported in 14 cases (0.06%) with complete recovery in 12 (0.05%) patients. Mortality occurred in 2 (0.009%) cases.

Conclusion: Anesthesia continues to be associated with morbidity and mortality despite the advancements made in equipment, monitors and drugs. This article may prove as reference for anesthesia related critical incidents and mortality in Pakistan.