Re: mortality in minor surgery

From: ainsron@msn.com
Tue Dec 26 10:49:41 2000


At Tue, 26 Dec 2000, Gail Waldby wrote: >
>Ron, are you sure these mortality rates apply to minor surgery?
>Gail Waldby, MD
>Huron Clinic SD

As I said, those were old numbers, from a 1990 anesthesia text, based on 1970 studies, and they relate to all procedures, they didn't break them down by minor or major. That was the best I could find at 2 a.m. in the doctor's lounge. I'm sure there has been significant improvements over the past 30 years because of pulse oximetry and CO2 monitors, equipment & drug improvements, etc. When I spoke to one of my anesthesiologists later this a.m., he said there is no good consensus on a mortality rate, separating minor from major surgeries, but said the best estimates were 1:400,000. Bonica places it at 1:200,000 for maternal deaths related to anesthesia, from 1979 to 1986, so my anesthesiolgist's estimate was probably close. Its also going to vary depending on the quality of care in developing vs. "more advanced" countries.

--
Ronald E. Ainsworth, MD




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