The incidence of hypoxemia during surgery: Evidence from two institutions

Canadian Journal of Anesthesia

Volumn 57, Issue 10, 2010, Pages 888-897

  Ehrenfeld, Jesse M ^a   Funk, Luke M ^b,c   Van Schalkwyk, Johan ^d   Merry, Alan F ^d,e   Sandberg, Warren S ^a   Gawande, Atul ^b,c  

^a MASSACHUSETTS GENERAL HOSPITAL   (United States)

^b BRIGHAM AND WOMEN S HOSPITAL   (United States)

^c HARVARD SCHOOL OF PUBLIC HEALTH   (United States)

^d AUCKLAND CITY HOSPITAL   (New Zealand)

^e UNIVERSITY OF AUCKLAND   (New Zealand)

Author keywords

[No Author keywords available]

Indexed keywords

ADOLESCENT; ADULT; ANESTHESIA INDUCTION; ARTICLE; BLOOD OXYGENATION; CLINICAL RESEARCH; CONTROLLED STUDY; DISEASE DURATION; DISEASE SEVERITY; EMERGENCY SURGERY; EVIDENCE BASED MEDICINE; FEMALE; HUMAN; HYPOXEMIA; INCIDENCE; INTRAOPERATIVE PERIOD; MAJOR CLINICAL STUDY; MALE; OPERATION DURATION; OUTCOME ASSESSMENT; OXYGEN TENSION; PATIENT SAFETY; PEROPERATIVE COMPLICATION; PRIORITY JOURNAL; PULSE OXIMETRY; RETROSPECTIVE STUDY; RISK ASSESSMENT; SURGICAL PATIENT;

ACADEMIC MEDICAL CENTERS; ANESTHESIA; ANOXIA; FEMALE; HUMANS; INTRAOPERATIVE COMPLICATIONS; MALE; MIDDLE AGED; MONITORING, INTRAOPERATIVE; OXIMETRY; RETROSPECTIVE STUDIES; SEVERITY OF ILLNESS INDEX; SURGICAL PROCEDURES, OPERATIVE;

EID: 77957316349     PISSN: 0832610X     EISSN: None     Source Type: Journal    
DOI: 10.1007/s12630-010-9366-5     Document Type: Article

References (58)

1. JW Severinghaus JF Kelleher 1992 Recent developments in pulse oximetry Anesthesiology 76 1018 1038 10.1097/00000542-199206000-00024 1599088
2. R Merchant C Bosenberg K Brown, et al. 2010 Guidelines to the practice of anesthesia - Revised edition 2010 Can J Anesth 57 58 87 10.1007/s12630-009- 9209-4 20039222
3. Anesthesiologists ASA. Standards of the American Society of Anesthesiologists: Standards for Basic Anesthetic Monitoring. Available from URL: http://www.asahq.org/publicationsAndServices/standards/02.pdf (accessed April 2010).
4. JH Eichhorn JB Cooper DJ Cullen WR Maier JH Philip RG Seeman 1986 Standards for patient monitoring during anesthesia at Harvard Medical School JAMA 256 1017 1020 10.1001/jama.256.8.1017 3735628 (Pubitemid 16034138)
5. World Alliance for Patient Safety. WHO guidelines for safe surgery. Geneve: World Health Organization; 2008. Available from URL: http://www.who.int/patientsafety/safesurgery/knowledge-base/SSSL-Brochure- finalJun08.pdf (accessed April 2010)
6. JB Cooper RS Newbower CD Long B McPeek 1978 Preventable anesthesia mishaps: a study of human factors Anesthesiology 49 399 406 10.1097/00000542- 197812000-00004 727541
7. JB Cooper RS Newbower RJ Kitz 1984 An analysis of major errors and equipment failures in anesthesia management: considerations for prevention and detection Anesthesiology 60 34 42 10.1097/00000542-198401000-00008 6691595
8. RL Keenan CP Boyan 1985 Cardiac arrest due to anesthesia. A study of incidence and causes JAMA 253 2373 2377 10.1001/jama.253.16.2373 3981764 (Pubitemid 15083733)
9. RL Keenan CP Boyan 1991 Decreasing frequency of anesthetic cardiac arrests J Clin Anesth 3 354 357 10.1016/0952-8180(91)90174-L 1931057
10. MS Arbous AE Meursing JW van Kleef, et al. 2005 Impact of anesthesia management characteristics on severe morbidity and mortality Anesthesiology 102 257 268 10.1097/00000542-200502000-00005 15681938 quiz 491-2 (Pubitemid 40189072)
11. JT Moller PF Jensen NW Johannessen K Espersen 1992 Hypoxaemia is reduced by pulse oximetry monitoring in the operating theatre and in the recovery room Br J Anaesth 68 146 150 10.1093/bja/68.2.146 1540455
12. CJ Cote N Rolf LM Liu, et al. 1991 A single-blind study of combined pulse oximetry and capnography in children Anesthesiology 74 980 987 10.1097/00000542-199106000-00003 1904206
13. J Canet M Ricos F Vidal 1991 Postanesthetic hypoxemia and oxygen administration Anesthesiology 74 1161 1162 10.1097/00000542-199106000-00039 2042775
14. JH Eichhorn 1993 Effect of monitoring standards on anesthesia outcome Int Anesthesiol Clin 31 181 196 10.1097/00004311-199331030-00012 8375908
15. DI Sessler 2009 Long-term consequences of anesthetic management Anesthesiology 111 1 4 10.1097/ALN.0b013e3181a913e1 19512884
16. AF Merry CS Webster DJ Mathew 2001 A new, safety-oriented, integrated drug administration and automated anesthesia record system Anesth Analg 93 385 390 10.1097/00000539-200108000-00030 11473866
17. CB Egger Halbeis RH Epstein A Macario RG Pearl Z Grunwald 2008 Adoption of anesthesia information management systems by academic departments in the United States Anesth Analg 107 1323 1329 10.1213/ane.0b013e31818322d2 18806048
18. RH Epstein MM Vigoda DM Feinstein 2007 Anesthesia information management systems: a survey of current implementation policies and practices Anesth Analg 105 405 411 10.1213/01.ane.0000270214.58811.c4 17646498 (Pubitemid 47196420)
19. FS Xue YG Huang SY Tong, et al. 1996 A comparative study of early postoperative hypoxemia in infants, children, and adults undergoing elective plastic surgery Anesth Analg 83 709 715 10.1097/00000539-199610000-00008 8831307 (Pubitemid 26349202)
20. FS Xue G An SY Tong X Liao JH Liu LK Luo 1998 Influence of surgical technique on early postoperative hypoxaemia in children undergoing elective palatoplasty Br J Anaesth 80 447 451 9640147
21. JT Moller NW Johannessen H Berg K Espersen LE Larsen 1991 Hypoxaemia during anaesthesia-an observer study Br J Anaesth 66 437 444 10.1093/bja/66.4.437 2025470
22. CJ Cote EA Goldstein MA Cote DC Hoaglin JF Ryan 1988 A single-blind study of pulse oximetry in children Anesthesiology 68 184 188 10.1097/00000542- 198802000-00002 3277484
23. JT Moller NW Johannessen K Espersen, et al. 1993 Randomized evaluation of pulse oximetry in 20, 802 patients: II. Perioperative events and postoperative complications Anesthesiology 78 445 453 10.1097/00000542-199303000-00007 8457045
24. FW Cheney KL Posner LA Lee RA Caplan KB Domino 2006 Trends in anesthesia-related death and brain damage: a closed claims analysis Anesthesiology 105 1081 1086 10.1097/00000542-200612000-00007 17122570 (Pubitemid 44808571)
25. GN Peterson KB Domino RA Caplan KL Posner LA Lee FW Cheney 2005 Management of the difficult airway: a closed claims analysis Anesthesiology 103 33 39 10.1097/00000542-200507000-00009 15983454 (Pubitemid 40943134)
26. TG Weiser SE Regenbogen KD Thompson, et al. 2008 An estimation of the global volume of surgery: a modelling strategy based on available data Lancet 372 139 144 10.1016/S0140-6736(08)60878-8 18582931
27. R Kazan D Bracco TM Hemmerling 2009 Reduced cerebral oxygen saturation measured by absolute cerebral oximetry during thoracic surgery correlates with postoperative complications Br J Anaesth 103 811 816 10.1093/bja/aep309 19918024
28. R Greif O Akca EP Horn A Kurz DI Sessler 2000 Supplemental perioperative oxygen to reduce the incidence of surgical-wound infection. Outcomes Research Group N Engl J Med 342 161 167 10.1056/NEJM200001203420303 10639541 (Pubitemid 30051647)
29. FJ Belda L Aguilera J Garcia de la Asuncion, et al. 2005 Supplemental perioperative oxygen and the risk of surgical wound infection: a randomized controlled trial JAMA 294 2035 2042 10.1001/jama.294.16.2035 16249417 (Pubitemid 41539936)
30. N Kotani H Hashimoto DI Sessler, et al. 2000 Supplemental intraoperative oxygen augments antimicrobial and proinflammatory responses of alveolar macrophages Anesthesiology 93 15 25 10.1097/00000542-200007000-00008 10861141
31. R Greif S Laciny B Rapf RS Hickle DI Sessler 1999 Supplemental oxygen reduces the incidence of postoperative nausea and vomiting Anesthesiology 91 1246 1252 10.1097/00000542-199911000-00014 10551573 (Pubitemid 29506085)
32. PI Korner 1959 Circulatory adaptations in hypoxia Physiol Rev 39 687 730 14411079
33. CE Cross PA Rieben CI Barron PF Salisbury 1963 Effects of arterial hypoxia on the heart and circulation: an integrative study Am J Physiol 205 963 970 5877426
34. J Zielinski 2005 Effects of intermittent hypoxia on pulmonary haemodynamics: animal models versus studies in humans Eur Respir J 25 173 180 10.1183/09031936.04.00037204 15640339 (Pubitemid 40207747)
35. M Brezis S Rosen 1995 Hypoxia of the renal medulla-its implications for disease N Engl J Med 332 647 655 10.1056/NEJM199503093321006 7845430
36. D Gozal JM Daniel GP Dohanich 2001 Behavioral and anatomical correlates of chronic episodic hypoxia during sleep in the rat J Neurosci 21 2442 2450 11264318
37. JL Bass M Corwin D Gozal, et al. 2004 The effect of chronic or intermittent hypoxia on cognition in childhood: a review of the evidence Pediatrics 114 805 816 10.1542/peds.2004-0227 15342857 (Pubitemid 41529542)
38. A Casati G Fanelli P Pietropaoli, et al. 2005 Continuous monitoring of cerebral oxygen saturation in elderly patients undergoing major abdominal surgery minimizes brain exposure to potential hypoxia Anesth Analg 101 740 747 10.1213/01.ane.0000166974.96219.cd 16115985 (Pubitemid 41208505)
39. TG Monk BC Weldon CW Garvan, et al. 2008 Predictors of cognitive dysfunction after major noncardiac surgery Anesthesiology 108 18 30 10.1097/01.anes.0000296071.19434.1e 18156878
40. T Pedersen AM Moller BD Pedersen 2003 Pulse oximetry for perioperative monitoring: systematic review of randomized, controlled trials Anesth Analg 96 426 431 10.1097/00000539-200302000-00024 12538190 (Pubitemid 36125759)
41. JT Moller T Pedersen LS Rasmussen, et al. 1993 Randomized evaluation of pulse oximetry in 20, 802 patients: I. Design, demography, pulse oximetry failure rate, and overall complication rate Anesthesiology 78 436 444 10.1097/00000542-199303000-00006 8457044
42. AF Merry JH Eichhorn IH Wilson 2009 Extending the WHO 'Safe Surgery Saves Lives' project through Global Oximetry Anaesthesia 64 1045 1048 10.1111/j.1365-2044.2009.06104.x 19735392
43. DL Reich A Timcenko CA Bodian, et al. 1996 Predictors of pulse oximetry data failure Anesthesiology 84 859 864 10.1097/00000542-199604000-00013 8638840 (Pubitemid 26105249)
44. Z Guan K Baker WS Sandberg 2009 Misalignment of disposable pulse oximeter probes results in false saturation readings that influence anesthetic management Anesth Analg 109 1530 1533 10.1213/ANE.0b013e3181b9a814 19843792
45. PR Freund PT Overand J Cooper, et al. 1991 A prospective study of intraoperative pulse oximetry failure J Clin Monit 7 253 258 10.1007/BF01619270 1890448
46. B Bohnhorst CS Peter CF Poets 2000 Pulse oximeters' reliability in detecting hypoxemia and bradycardia: comparison between a conventional and two new generation oximeters Crit Care Med 28 1565 1568 10.1097/00003246-200005000- 00050 10834712
47. CM Alexander LE Teller JB Gross 1989 Principles of pulse oximetry: theoretical and practical considerations Anesth Analg 68 368 376 10.1213/00000539-198903000-00035 2645811
48. CD Hanning JM Alexander-Williams 1995 Pulse oximetry: a practical review BMJ 311 367 370 7640545
49. WW Lee K Mayberry R Crapo RL Jensen 2000 The accuracy of pulse oximetry in the emergency department Am J Emerg Med 18 427 431 10.1053/ajem.2000.7330 10919532 (Pubitemid 30471080)
50. DB Wax P Rubin S Neustein 2009 A comparison of transmittance and reflectance pulse oximetry during vascular surgery Anesth Analg 109 1847 1849 10.1213/ANE.0b013e3181bbc446 19923513
51. CG Durbin Jr SK Rostow 2002 Advantages of new technology pulse oximetry with adults in extremis Anesth Analg 94 S81 S83 11900045
52. M Golparvar H Naddafnia M Saghaei 2002 Evaluating the relationship between arterial blood pressure changes and indices of pulse oximetric plethysmography Anesth Analg 95 1686 1690 10.1097/00000539-200212000-00040 12456440
53. SJ Barker 2002 "Motion-resistant" pulse oximetry: a comparison of new and old models Anesth Analg 95 967 972 10.1097/00000539-200210000-00033 12351278
54. ISO 9919:2005. Medical electrical equipment - Particular requirements for the basic safety and essential performance of pulse oximeter equipment for medical use. International Organization for Standardization, Geneva, Switzerland 2005. Available from URL: http://webstore.iec.ch/preview/info-iso9919%7Bed2. 0%7Den.pdf (accessed April 2010)
55. P Gregorini 1996 Comparison of four methods of automated recording of physiologic data at one minute intervals J Clin Monit 12 299 303 10.1007/BF02221750 8863109
56. JL Derrick DJ Bassin 1998 Sampling intervals to record severe hypotensive and hypoxic episodes in anesthetised patients J Clin Monit Comput 14 347 351 10.1023/A:1009978414365 9951760 (Pubitemid 29011984)
57. RH Epstein F Dexter JM Ehrenfeld WS Sandberg 2009 Implications of event entry latency on anesthesia information management decision support systems Anesth Analg 108 941 947 10.1213/ane.0b013e3181949ae6 19224807
58. RT Donham 1998 Defining measurable OR-PR scheduling, efficiency, and utilization data elements: the Association of Anesthesia Clinical Directors procedural times glossary Int Anesthesiol Clin 36 15 29 10.1097/00004311- 199803610-00005 9604722