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December 1, 2002AnesthesiologyOpen Access

Anesthesia Safety: Model or Myth?

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Why the study?

What is the true rate of anesthesia-related mortality in modern practice?

Population

Patients undergoing anesthesia for operative procedures at a suburban university hospital network and an…

Design

Cohort

Follow-up

2 postprocedure days

Authors

RLRobert S. Lagasse

Discussion

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Overview

Observed rates exceed long-cited benchmarks; challenges consensus on anesthesia safety yet leaves open questions of definitions and generalizability.

Structured PICO

What is the true rate of anesthesia-related mortality in modern practice?

P
Population
Patients undergoing anesthesia for operative procedures at a suburban university hospital network (1992-1994) and an urban university hospital network (1995-1999), totaling 184,472 anesthetics.
I
Intervention
Anesthesia administration
O
Outcome
Perioperative mortality (death during or within two postprocedure days) and anesthesia-related mortality (perioperative death to which human error by an anesthesia practitioner contributed)hard clinical

The study demonstrates that anesthesia-related mortality rates (approximately 1 in 13,000) are higher than the widely cited estimates of 1 in 200,000 to 300,000, challenging the narrative of anesthesiology as a flawless model of safety.

Cite This Study

Robert S. Lagasse (2002) studied this question.

synapsesocial.com/papers/6a1bc8e5ea84844e355ef474https://doi.org/10.1097/00000542-200212000-00038
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