|
KMID : 0356920080540040431
|
|
Korean Journal of Anesthesiology
2008 Volume.54 No. 4 p.431 ~ p.436
|
|
|
A Comparison of Obstetric and Non-obstetric Anesthesia Medical Accidents
|
|
Kim Keon-Sik
Kwon Moo-Il
Lee Bong-Jae
Hong Sung-Gi
Shin Seung-Ho
|
|
|
Abstract
|
|
|
Background : Obstetrics departments are unique and medical accidents in obstetric anesthesia may show differences from non-obstetric anesthesia accidents.So we compared both groups in several aspects for the understanding their characters and decreasing their incidence.
Methods : Obstetric anesthesia accidents (n = 30) and non-obstetric anesthesia accidents (n = 106) were compared in 6 categories (patient age, anesthesia method, damaging event, anesthetic care, severity of injury, payment).
Results : The most common complications in obstetric anesthesia accidents were maternal death (40%), maternal brain damage (13%), and maternal nerve injury (13%).In contrast, the most common complications in non-obstetric anesthesia accidents were patient death (62%), and patient brain damage (27%). The severity of injury score of obstetric anesthesia adverse outcomes was analogous to that of non-obstetric anesthesia adverse outcomes, but the payment for obstetric accidents was significantly greater than that for non-obstetric accidents.
Conclusion : Obstetric anesthesia accidents revealed distinct medical risk profiles, such as patient age, damaging event, severity of injury, and payment.Special care should be used when anesthetizing younger women and caring for a newborn in obstetric anesthesia.More studies and analyses are necessary to prevent obstetric anesthesia accidents.(Korean J Anesthesiol 2008; 54: 431∼36)
|
|
|
KEYWORD
|
|
|
anesthesia adverse outcome, medical accident, obstetric anesthesia
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
   
|
|