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Trembach N.V.

Kuban State Medical University

Zabolotskikh I.B.

Kuban State Medical University

Critical incident prediction model in advanced abdominal surgery

Authors:

Trembach N.V., Zabolotskikh I.B.

More about the authors

Journal: Russian Journal of Anesthesiology and Reanimatology. 2021;(2): 98‑104

DOI: 10.17116/anaesthesiology202102198

Read: 2364 times

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Table of contents

CRITICAL INCIDENT PREDICTION MODEL IN ADVANCED ABDOMINAL SURGERY
CRITICAL INCIDENT PREDICTION MODEL IN ADVANCED ABDOMINAL SURGERY

To cite this article:

Trembach NV, Zabolotskikh IB. Critical incident prediction model in advanced abdominal surgery. Russian Journal of Anesthesiology and Reanimatology. 2021;(2):98‑104. (In Russ.)
https://doi.org/10.17116/anaesthesiology202102198

МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE

To develop a model for prediction of critical incidents during major abdominal surgery based on voluntary breath-holding duration.

MATERIAL AND METHODS

The study included 256 patients who underwent advanced abdominal surgery under combined anesthesia. Hemodynamic, respiratory and metabolic critical incidents were recorded during anesthesia.

RESULTS

Critical incidents were observed in 156 patients. According to logistic regression, duration of breath-holding <34 seconds, age over 65 years, symptoms of congestive heart failure and ASA class ≥3 were predictors of intraoperative critical incidents. High risk of critical incidents is determined by ≥2 scores, sensitivity and specificity for this cut-off value were 72% and 99%, respectively. Original scale showed a higher predictive value compared to other risk assessment methods (AUC 0.92 (95% CI 0.88-0.95, p<0.0001)).

CONCLUSION

Incidence of critical incidents during abdominal surgery is still high. Preoperative voluntary breath-holding duration is very important cardiorespiratory functional parameter. Combination of this value with other clinical factors (age, ASA class and symptoms of congestive heart failure) allows identifying a high risk group for intraoperative critical incidents.

Keywords:

breath-holding test
critical incidents
high-risk patients

Authors:

Trembach N.V.

Kuban State Medical University

Zabolotskikh I.B.

Kuban State Medical University

Received:

11.07.2020

Accepted:

19.09.2020

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