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Table 3 The pathophysiological mechanisms and details of patients who experienced anesthesia-contributory death

From: Perianesthetic death: a 10-year retrospective observational study in a Japanese university hospital

Number

Age (year)

ASA-PS

Emergency

Sex

Period of the event leading to death

Pathophysiological process

Detailed description

Location of the event leading to death

1

78

V

Yes

Male

Maintenance

Hypovolemia (hemorrhage)

Ruptured abdominal aortic aneurysm; intraoperative massive hemorrhage and bradycardia

Operating room

2

92

IV

No

Female

Postoperative period

Hypovolemia (true hypovolemia)

Bowel obstruction due to transverse colon cancer; atrial fibrillation with tachycardia and a large amount of intestinal solution

General ward

3

75

III

No

Male

Postoperative period

Hypovolemia (true hypovolemia)

Hemodialysis; postoperative hyperkalemia; hemodialysis difficulty due to hypovolemia

General ward

4

83

V

Yes

Female

Postoperative period

Hypovolemia (hemorrhage)

Ruptured abdominal aortic aneurysm; hypotension shortly after anesthesia induction; massive hemorrhage

Intensive care unit

5

48

V

Yes

Male

Postoperative period

Hypovolemia (sepsis)

Multiple organ failure and hypotension after replacement of the ascending aorta

Intensive care unit

6

70

V

Yes

Male

Maintenance

Hypovolemia (hemorrhage)

Ruptured abdominal aortic aneurysm; intraoperative massive hemorrhage

Operating room

7

59

III

No

Male

Maintenance

Myocardial infarction

History of angina pectoris; intraoperative ventricular fibrillation following ST-elevation; possibility of cardiac ischemia

Operating room

8

74

V

Yes

Female

Maintenance

Myocardial infarction

Aortic dissection with mitral valve regurgitation; low output syndrome; myocardial infarction on cardiology

Intensive care unit

9

12

III

Yes

Male

Maintenance

Arrhythmia

Perforation of a stress ulcer; burn; ventricular fibrillation caused by hyperkalemia after transfusion

Intensive care unit

10

88

IV

Yes

Male

Postoperative period

Respiratory failure

Bladder hemorrhage and anemia with multiple comorbidities; hypoxia after surgery

Operating room

  1. ASA-PS American Society of Anesthesiologists-Physical Status