Why the study?
To present a project of guidelines in perioperative cardio-pulmonary resuscitation by an international expert group and analyze the situation in Ukraine.
The reported incidence of perioperative cardiac arrest in Ukraine is suspiciously low, likely due to underreporting, highlighting a critical need for better monitoring equipment and a national registry.
Documents substantial perioperative arrests in Ukraine; leaves open value of proposed guidelines pending prospective validation.
The article presents the project of guidelines in perioperative cardio-pulmonary resuscitation by international expert group and analyzes of situation on this subject in Ukraine. According to the annual reports of the anesthetic service of the 20 regions of Ukraine in 2017, 116 cases of cardiorespiratory arrest were recorded in the operating room and during the first postoperative day. 38168 cases of complications were registered in the intraoperative period and during the first day after surgery, 96 (0.25%) of them were fatal. The total number of performed anesthesia during 2017 is 858331. The incidence of intraoperative cardiorespiratory arrest was 1: 7400 anaesthesia, mortality 1: 8940 anaesthesia. Such low incidence are likely to be due to lack of registration and does not reflect a real situation. In Ukraine, the supply of minimum monitoring is 0.46 per 1 operating table. Disastrously missing modern anesthetic equipment, advanced monitoring and equipment for difficult airways. Conducting inhalation anesthesia in the mode of small / minimum flow without a gas analyzer has become, unfortunately, a common practice in Ukraine. Nearly absolutely no monitoring of neuromuscular conduction, depth of anaesthetia.
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Фесенко et al. (2019) studied this question.
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