Department of Anesthesia, University of Calgary, Calgary, Alberta, Canada.
Can J Anaesth. 2010 Apr;57(4):361-7. doi: 10.1007/s12630-010-9267-7. Epub 2010 Feb 4.
Unanticipated perioperative death (UPD) is a significant event for the anesthesiologist that has not been widely studied. An anonymous questionnaire was used to obtain information about the frequency of UPD, anesthesiologists' most significant UPD, and their opinions regarding UPD.
A questionnaire was mailed to all anesthesiologists who were registered with the College of Physicians and Surgeons of Alberta in 2005 (n = 285).
The study achieved a 63% response rate. Sixty-four percent of respondents had been in practice for more than ten years, and 53% of respondents had experienced at least one UPD. After the UPD, 46% of the respondents performed further elective cases the same day, although 62% of them indicated that this was not advisable. Personal consequences were reported. Twenty-five percent felt they were being blamed for the event, and 10% thought about the UPD on a daily basis for more than a year afterwards. Mortality and morbidity reviews were common, and disciplinary consequences occurred infrequently. Sixty-four percent of anesthesiologists' most significant UPDs were elective cases. The etiology of death was thought to be anesthesia-related in only 11% of the UPDs. Although most respondents agreed that supportive and educational activities in the aftermath were advisable, such activities occurred in a minority of cases.
Alberta anesthesiologists are likely to experience UPD during their careers, and the experience can be associated with important personal consequences. Support for the anesthesiologist is inconsistent, and many continued to perform elective cases immediately following UPD. These conditions were not supported by the majority of respondents.
围术期意外死亡（UPD）对麻醉师来说是一个重大事件，但尚未得到广泛研究。本研究采用匿名问卷的方式获取有关 UPD 频率、麻醉师印象最深刻的 UPD 以及他们对 UPD 的看法等信息。
向 2005 年在阿尔伯塔省医师和外科医生学院注册的所有麻醉师邮寄问卷（n=285）。
研究的回复率为 63%。64%的受访者从业时间超过 10 年，53%的受访者至少经历过 1 例 UPD。在 UPD 后，46%的受访者当天继续进行其他择期手术，尽管 62%的受访者认为这不合适。报告了个人后果。25%的受访者感到自己对此事负有责任，10%的受访者在之后的一年中每天都会想到 UPD。经常进行死亡率和发病率审查，很少有纪律处分。64%的麻醉师印象最深刻的 UPD 为择期手术。在仅 11%的 UPD 中，认为死亡病因与麻醉有关。尽管大多数受访者认为在事后提供支持和教育活动是明智的，但这种活动在少数情况下发生。
阿尔伯塔省麻醉师在其职业生涯中可能会经历 UPD，并且这可能会带来重要的个人后果。对麻醉师的支持并不一致，许多人在 UPD 后立即继续进行择期手术。这些情况并未得到大多数受访者的支持。
