A Prospective Observational Cohort Study of Calls for Help in a Tertiary Care Academic Operating Room Suite.

While significant literature exists on hospital-based "code calls," there is a lack of research on calls for help in the operating room (OR). The purpose of this study was to quantify the rate and nature of calls for help in the OR of a tertiary care hospital. For a 1-year period, all calls were recorded in the main OR at The University of California, Irvine Medical Center. The average rate of calls per 1000 anesthesia hours was 1.4 (95% CI, 1.1-1.8), corresponding to a rate of 5.0 (3.8-6.5) calls per 1000 cases. Airway (44%), cardiac (32%), and hemorrhagic (11%) emergencies were the most common etiologies. Thirty-day mortality approached 11% for patients who required a call for help in the OR.

[1]  William R. McIvor,et al.  Simulation-based Assessment of the Management of Critical Events by Board-certified Anesthesiologists , 2017, Anesthesiology.

[2]  B. Joyner,et al.  Using high‐fidelity simulation for critical event training , 2016, Medical education.

[3]  M. Luedi,et al.  Implications of Patient Age and ASA Physical Status for Operating Room Management Decisions , 2016, Anesthesia and analgesia.

[4]  S. Jaber,et al.  Effect of rapid response systems on hospital mortality: a systematic review and meta-analysis , 2016, Intensive Care Medicine.

[5]  A. Joffe.  Use your SMARTs (Some Kind of Multidisciplinary Airway Response Team) for emergent airway management outside the operating room. , 2015, Anesthesia and analgesia.

[6]  David H. Chong,et al.  Reduction in hospital-wide mortality after implementation of a rapidresponse team: a long-term cohort study , 2011, Critical care.

[7]  T. Wagner,et al.  Introduction of a Rapid Response System at a United States Veterans Affairs Hospital Reduced Cardiac Arrests , 2010, Anesthesia and analgesia.

[8]  R. McCarthy,et al.  Acquisition of Critical Intraoperative Event Management Skills in Novice Anesthesiology Residents by Using High-fidelity Simulation-based Training , 2010, Anesthesiology.

[9]  J. Sherner.  Rapid response team implementation and hospital mortality rates. , 2009, JAMA.

[10]  G. Lighthall.  The value of simulation training during anesthesia residency. , 2006, Anesthesiology.

[11]  S. Hamstra,et al.  Nontechnical Skills in Anesthesia Crisis Management with Repeated Exposure to Simulation-based Education , 2005, Anesthesiology.

[12]  Geoffrey K Lighthall,et al.  Use of a fully simulated intensive care unit environment for critical event management training for internal medicine residents* , 2003, Critical care medicine.

[13]  S D Small,et al.  Anesthesia crisis resource management: real-life simulation training in operating room crises. , 1995, Journal of clinical anesthesia.

[14]  C. Mcintosh.  Lake Wobegon for anesthesia...where everyone is above average except those who aren't: variability in the management of simulated intraoperative critical incidents. , 2009, Anesthesia and analgesia.