Why the study?
Does the incidence of ICU admission after anaesthetic complications change over time?
Does the incidence of ICU admission after anaesthetic complications change over time?
The incidence of ICU admissions following anaesthetic complications decreased compared to the previous 5 years, though a significant proportion of complications were considered avoidable.
Observed decline in anaesthetic complication-related ICU admissions may reflect practice improvements; hypothesis-generating for strategies to reduce avoidable events.
Compared with the first 5 years there was a 19% increase in general anaesthetics, a 171% increase in local and (or) sedation techniques and a 9% increase in obstetric epidurals with no increase in anaesthetic staffing. In this second 5-year period, 46 patients were admitted to the Intensive Care Unit as a result of a complication of an anaesthetic technique. These patients represented 1 in 2371 anaesthetic techniques carried out in the District compared with the previous 5 years where the incidence was 1 in 1543. Seven patients died (15.2%). The complication was considered to be wholly or partially avoidable in 14 instances (30.4%). Four of these subjects died.
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LEIGH et al. (1990) studied this question.
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