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Background: This study provides up-to-date survival data oncardiac resuscitation in adult in-patients. The main objectives ofthe study were to evaluate the incidence, causes, and outcomesof perioperative cardiac arrest. Objective data might encouragemore meaningful attitude in anesthesiologists, surgeons, andpatients. Methods: We retrospectively reviewed patients who experiencedperioperative cardiac arrest while receiving noncardiac surgerybetween January 2004 and December 2012. Collected data includedpatient characteristics, preoperative evaluations, AmericanSociety of Anesthesiologists Physical Status (ASA PS) classification,surgical status (e.g., elective or emergency), type of surgery, andoutcomes. Results: We identified 30 cases of perioperative cardiac arrestthat occurred in 457,529 anesthetized patients (incidence = 0.66per 10,000 anesthetized patient; all-cause mortality = 0.21 per10,000 anesthetic cases). Two-thirds of patients (19 of 30) wereemergency cases (21% survival rate; 4 of 19 patients). Most cardiacarrest patients (60%; 18 of 30 patients) were ASA PS IV–V, andonly 40% patients were ASA PS I, II and III. Four cases wereassociated with anesthesia and the patient recovered, and 3 patientsrecovered after resuscitation. The main causes of cardiac arrestwere respiratory- (75%) and medication-related events (25%). Conclusions: In accordance with anesthetic management guidelinesand the development of anesthetic agents, anesthesia-relatedcardiac arrests decreased in terms of incidence and mortality. However, we recommend that clinicians cautiously keep in mindairway management and the administration of medications, whichare important preventative factors.

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