POSTOPERATIVE COMPLICATIONS OF CARDIAC SURGERY AS CARDIAC ARREST AND ITS MANAGEMENT

Objective: To evaluate the anesthetist's role in cardiac anesthesia in case of cardiac arrest. Study Design: A retrospective study. Place and Duration: In the Cardiology Department, Punjab Institute of Cardiology for one-year period from August 2016 to August 2017. Methodology: In this study we reviewed possible actions for each of the related events for 712 patients undergoing cardiac surgery. Findings: Of the 712 patients who underwent cardiac surgery, 28 (3.9%) had cardiac arrest due to various problems occurs postoperatively. In 50% of the cardiac arrest cases massive bleeding occurs in 1.9% of patients); In 28.5% cases of cardiac arrest, supraventricular tachycardia occurs in 1.1% of patients). In 7% cases of cardiac arrest, cardiac failure occurs, 0.2% of patients); In 3.5% cases of cardiac arrest, Aorta Arc Rapture occurs in 0.2% of patients); Pericardial effusion in 3.5% cases of cardiac arrest in 0.1% of all patients); Right atrium Rupture occurs in 3.5% cases of cardiac arrest, 0.3% of patients) was diagnosed after cardiac surgery. Seven deaths occurred from 28 cases (cardiac arrest cases in 25%, 0.2% of patients). The most common massive bleeding (50%) for heart failure during the postoperative phase was followed by non-pulsatile ventricular tachycardia (29%). 6 patients had morbidity and fifteen patients remaining were cured. Conclusion: Because it is a complete systematic patient assessment, equipment and medication that you need to complete, there are usually multiple factors leads to cardiac arrest under cardiac anesthesia. We found that the cardiac anesthesia-related diagnosis and treatment of cardiac arrest were significantly different from those found elsewhere.