ANZCA Mortality Report 2012-2014

 

·         Numbers

o   11 million episodes

o   200 anaesthesia-related deaths

o   i.e. mortality from anaesthesia very low, and if anything is getting lower

·         Was it anos fault?

o   23 Category 1 = definitely the anaesthetic

o   19 Category 2 = not entirely the anaesthetic

o   158 Category 3 = anaesthetic and medical/surgical factors

·         Patient

o   93% were ASA 3-5

o   87% were >60 years

·         Surgery

o   73% were emergency procedures

o   56% orthopaedic

o   10% abdominal

o   9% cardiothoracic

o   6% vascular

·         Anaesthesia causes of death

o   7 anaphylaxis

o   6 aspiration

o   6 cardiac arrest

o   2 CICO

o   2 stroke from arterially placed CVC

·         Other observations:

o   Overrepresentation of cases with a non-anaesthetist providing sedation (e.g. scopes, radiology, cardiology)

o   In some cases the decision to operate was inappropriate

o   Should limit community exposure to pholcodeine to limit cross-sensitisation with rocuronium