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. 2019 Apr;87(2):124-130.

Cardiovascular Complications in Patients Undergoing Noncardiac Surgery: A Cardiac Closed Claims Thematic Analysis

Marjorie Geisz-Everson  1 , Lorraine Jordan  2 , Kelly Wiltse Nicely  3 , Patrick McElhone  4
Affiliations
  • PMID: 31587725

Cardiovascular Complications in Patients Undergoing Noncardiac Surgery: A Cardiac Closed Claims Thematic Analysis

Marjorie Geisz-Everson et al. AANA J. 2019 Apr.

Abstract

More than 200 million adults have noncardiac surgery worldwide every year. Anesthesia closed claims databases allow anesthesia providers to critically examine adverse outcomes that occur during an anesthetic or immediately following the administration of anesthesia, to aid in improving patient care. A qualitative analysis of 34 closed malpractice claims with a cardiac-related event was conducted to determine common themes. Five common themes emerged: preanesthetic evaluation, normalization of deviance, medications, hemorrhage, and knowledge deficit/failed clinical reasoning.

Keywords: Cardiac arrest; cardiovascular collapse; closed claims; malpractice.

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Conflict of interest statement

The authors wish to acknowledge the AANA Foundation in Park Ridge, Illinois, for supporting this study with a financial grant. The authors did not discuss off-label use within the article. Disclosure statements are available for viewing upon request.

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