cao recovered in the general intensive care unit: epidemioclinical characteristics and mortality factors in a sub-saharan african country

Background: cardiac arrest in the operating room (cao) is a serious accident of often rare epidemiology. methods: retrospective, descriptive and analytical study from 2012 to 2021 in the multipurpose intensive care unit of the cocody university hospital in abidjan, including all patients who presented a recovered cao. results: the prevalence was 1.5% (89 out of 5730 admissions). the mean age was 33.5 ± 26 years (13-81). the sex ratio was 0.1. the medical history was mostly hypertension (22.5%). patients were classified asa ≥ iii (52.8%) for urgent surgery (52.8%) under spinal anesthesia (56.6%). cao occurred mostly at anesthetic induction (44.3%). the causes were mainly persistent arterial hypotension (54.7%) and hemorrhagic shock (30.2%). medical cpr was performed in 94.8% of cases in the operating room before transfer to the intensive care unit. the mean duration of lowflow was 4.5±1.8 minutes (3-12). on admission, the mean glasgow score was 6.3±4.4 (3-11). treatment consisted of continued cpr. the mean stay was 3.1±2.9 minutes (1-12). the death rate was 60.4%. asa class >3, urgent procedure, general anesthesia, presence of na alone, gl score ≤ 7, and low flow duration> 5 minutes were predictive of mortality (p < 0.05). conclusion: strengthening of material resources and continuous training in extreme emergency situations for anesthesia personnel could optimize the prognosis of cao.