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Dauðsföll af völdum svæfinga : könnun á 134.762 svæfingum á íslenskum sjúkrahúsum

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Authors
Ólafur Þ. Jónsson
Issue Date
2000-03-01

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Other Titles
Deaths attributable to anesthesia: a survey in Icelandic hospitals
Citation
Læknablaðið 2000, 86(3):174-77
Abstract
Objective: During the past 50 years many studies have been carried out to investigate deaths attributable to anesthesia. It can by difficult to interpret and compare the outcome as studies differ considerably in the methodology employed. However the trend seems to be that anesthetic mortality has indeed decreased over the years. No investigation of this kind is known to have taken place in Iceland. Therefore it was decided to conduct a survey in Icelandic hospitals in order to make comparison with these studies in other countries. Material and methods: This prospective survey was carried out in Icelandic hospitals during the five year period from 1992 to 1996. A letter was sent to all anesthesiologists in the country and also other health care professionals known to administer anesthesia. The purpose and the protocol were explained. At each year during the study period the chairmen of the departments of anesthesiology in the larger hospitals and those who administered anesthesia in the smaller hospitals were contacted in order to seek information as to whether any deaths due to anesthesia had taken place during the year and the number of anesthesias performed. The chief anesthesia nurses in the larger hospitals as well as the operating room nurses in other hospitals were asked if they were aware of any such deaths. The Directorate of Health was contacted to find out if any complaints had been filed during this period related to deaths under anesthesia. Results: No reports of deaths came from individuals. There were 14 hospitals which proveded information. During the study period 134,762 anesthesias were performed. No death was considered to be caused directly by anesthesia. No complaints related to anesthetic deaths were filed with the Directorate of Health. Conclusions: This study documents a low anesthetic mortality and compares favorably with results in other countries.
Tilgangur: Allmargar kannanir hafa farið fram erlendis á undanförnum áratugum á dauðsföllum af völdum svæfinga. Þær rannsóknaraðferðir sem notaðar hafa verið eru margs konar og er því samanburður erfiður. Þó virðist sem slíkum dauðsföllum hafi farið fækkandi. Tilgangur könnunar þeirrar sem hér er greint frá var annars vegar að athuga hvort dauðsföll af völdum svæfinga ættu sér stað hér á landi og hins vegar að fá samanburð við erlendar kannanir um sama efni. Efniviður og aðferðir: Könnun þessi var gerð á íslenskum sjúkrahúsum á fimm ára tímabili á árunum 1992-1996. Áður en könnunin hófst var öllum sérfræðingum í svæfingalækingum starfandi hér á landi og öðrum sem vitað var að önnuðust svæfingar ritað bréf þar sem gerð var grein fyrir könnuninni. Fljótlega eftir hver áramót var haft samband við yfirlækna svæfingadeilda stærri sjúkrahúsanna og einnig þá sem önnuðust svæfingar á öðrum sjúkrahúsunum. Leitað var eftir fjölda svæfinga á hverjum stað svo og upplýsingum um dauðsföll af völdum þeirra hafi einhver verið. Einnig var leitað eftir upplýsingum frá deildarstjórum svæfingadeilda stærri sjúkrahúsanna og skurðstofuhjúkrunarfræðingum á öðrum sjúkrahúsum. Haft var samband við landlæknisembættið til þess að kanna hvort einhver mál hefðu borist embættinu á tímabilinu varðandi dauðsföll af völdum svæfinga. Niðurstöður: Ekki bárust upplýsingar um dauðsföll frá einstaklingum. Upplýsingar bárust frá 14 sjúkrahúsum. Samkvæmt þeim gögnum sem fyrir liggja var alls um að ræða 134.762 svæfingar á sjúkrahúsum landsins á fyrrnefndu fimm ára tímabili. Ekkert dauðsfall var talið að rekja mætti til svæfinga. Engin mál bárust landlæknisembættinu á þessu tímabili varðandi dauðsföll vegna svæfinga. Ályktanir: Þessi könnun leiddi í ljós að ekki urðu dauðsföll á íslenskum sjúkrahúsum á þessu tímabili af völdum svæfinga. Samanburður við erlendar rannsóknir sýnir að árangur þessi er mjög góður.
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