Sixth Report of the Victorian Consultative Council on Anaesthetic Mortality and Morbidity

Cases Reported During 1989-92

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Contents:

• Introduction - Composition and Terms of Reference
  • The Function of the Council
  • Terminology
  • Data Collection
  • Department of Coronial Services
  • Confidentiality and Exchange of Information
  • Report on Cases 1989-92

• Reports of Morbidity
  • Causes of Morbidity

• Details of Cases of Morbidity
  • Acute Myocardial Infarction
  • Anaphylactic Reactions
  • Aspiration of Gastric Contents
  • Awareness
  • Cardiac Dysrhythmia
  • Drug Related Problems
  • Epileptiform Seizures
  • Equipment
  • Hepatitis
  • Intra-Arterial Injection
  • Malignant Hyperpyrexia
  • Monitoring
  • Pre-Operative Evaluation
  • Problems of Airway Management
  • Pulmonary Oedema
  • Regional Anaesthesia
  • Respiratory Obstruction
  • Retained Throat Pack

• Reports of Mortality
  • Causes of Death
  • Age Distribution of Cases of Mortality 1989-92
  • Anaesthetic Risk Factors
  • ASA Classification
  • Status of Anaesthetist
  • Anaesthetic Related Deaths
  • Location of Anaesthetic Related Deaths

• Details of Cases of Mortality
  • Anaphylaxis
  • Haemothorax
  • Hyponatraemia
  • Hypoxia
  • Hypotension and Myocardial Ischaemia
  • Operations on the Hip
  • Procedural Deaths
  • Infarction of Spinal Cord
  • Medical Condition
  • Insufficient Data
  • Maternal Mortality

• Conclusions
• Appendix 1 ASA Status
• Appendix 2 Council classification of mortality and morbidity
• Appendix 3 Inadvertent Intra Arterial Drug Administration
• Appendix 4 Drug Infusions in Emergency Situations
• References
  

Edited by:
Patricia Mackay M.B.Ch.B., F.R.C.A., F.A.N.Z.C.A.
Richard Connock MB.BS, DA (Melb.), F.A.N.Z.C.A.

Consultative Council on Anaesthetic Mortality and Morbidity
50 Lonsdale Street, Melbourne, Australia 3000
Telephone: (61 3) 9096 1381
Facsimile : (61 3 ) 1300 138 933

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