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Cited by 720

The DOI matches its Crossref record; 70 of the 70 references it cites were found in a registry or an index.

Anesthesia-Related Cardiac Arrest in Children: Update from the Pediatric Perioperative Cardiac Arrest Registry

Bhananker, Sanjay M., Ramamoorthy, Chandra, Geiduschek, Jeremy M., Posner, Karen L., Domino, Karen B., Haberkern, Charles M., Campos, John S., Morray, Jeffrey P.·2007·Anesthesia & Analgesia

Abstract

BACKGROUND: The initial findings from the Pediatric Perioperative Cardiac Arrest (POCA) Registry (1994-1997) revealed that medication-related causes, often cardiovascular depression from halothane, were the most common. Changes in pediatric anesthesia practice may have altered the causes of cardiac arrest in anesthetized children. METHODS: Nearly 80 North American institutions that provide anesthesia for children voluntarily enrolled in the Pediatric Perioperative Cardiac Arrest Registry. A standardized data form for each perioperative cardiac arrest in children </=18 yr of age was submitted anonymously. We analyzed causes of anesthesia-related cardiac arrests and related factors in 1998-2004. RESULTS: From 1998 to 2004, 193 arrests (49%) were related to anesthesia. Medication-related arrests accounted for 18% of all arrests, compared with 37% from 1994 to 1997 (P < 0.05). Cardiovascular causes of cardiac arrest were the most common (41% of all arrests), with hypovolemia from blood loss and hyperkalemia from transfusion of stored blood the most common identifiable cardiovascular causes. Among respiratory causes of arrest (27%), airway obstruction from laryngospasm was the most common cause. Vascular injury incurred during placement of central venous catheters was the most common equipment-related cause of arrest. The cause of arrest varied by phase of anesthesia care (P < 0.01). Cardiovascular and respiratory causes occurred most commonly in the surgical and postsurgical phases, respectively. CONCLUSIONS: A reduction in the proportion of arrests related to cardiovascular depression due to halothane may be related to the declining use of halothane in pediatric anesthetic practice. The incidence of the most common remaining causes of arrest in each category may be reduced through preventive measures.

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Metadata

Authors
Bhananker, S. M., Ramamoorthy, C., Geiduschek, J. M., Posner, K. L., Domino, K. B., Haberkern, C. M., Campos, J. S., & Morray, J. P.
Venue
Anesthesia & Analgesia
Published
2007-08
Volume
105
Issue
2
Pages
344-350
ISSN
0003-2999 (ISSN-L)
OpenAlex
W1973426331
Cited by
720
References
70
FWCI
22.68
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Anesthesia-Related Cardiac Arrest in Children: Update from the Pediatric Perioperative Cardiac Arrest Registry. https://app.cochat.ai/papers/10.1213/01.ane.0000268712.00756.dd
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Bhananker, S. M., Ramamoorthy, C., Geiduschek, J. M., Posner, K. L., Domino, K. B., Haberkern, C. M., Campos, J. S., & Morray, J. P. (2007). Anesthesia-Related Cardiac Arrest in Children: Update from the Pediatric Perioperative Cardiac Arrest Registry. Anesthesia & Analgesia. https://doi.org/10.1213/01.ane.0000268712.00756.dd

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.