No

Age (yrs.)

Sex

ASA

Status

Anaesthesia technique

Surgery

Medical history

Details

1

40

M

5

Emergency

General

Laparotomy

Polytrauma?Fall from height.

Arrived in OT in extremis with unrecordable blood pressure

Developed pulseless electrical activity (PEA) in OT

2

70

M

5

Emergency

General

Laparotomy

Polytrauma?Road traffic accident

Ischaemic heart disease (IHD) status post coronary artery bypass graft (CABG), DM, HTN

Brought to OT hypotensive

Developed VF intraoperatively then asystole

3

36

M

5

Emergency

General

Laparotomy

Polytrauma?Fall from height

PEA prior to transfer to OT

4

Young

M

5

Emergency

General

Laparotomy

Polytrauma?Road traffic accident

PEA prior to transfer to OT

5

87

M

5

Emergency

General

Open AAA repair

Ruptured AAA

HTN, Dyslipidaemia

PEA on arrival to OT

6

74

M

4

Emergency

General

Open abdominal aortic aneurysm (AAA) repair

Leaking AAA with recent NSTEMI

HTN, Dyslipidaemia, Chronic Renal Impairment

PEA after aortic crossclamp

7

22

F

4

Emergency

General

Pericardial window

Advanced breast cancer on chemotherapy

Previous pericardial window with recollection of fluid

Intra-operatively: Suction in pericardial sac drained 1L of thick dark blood―suspected intracardiac drain, followed by cardiovascular collapse.

8

65

M

4

Emergency

General

Ventricular septal defect Repair

Post myocardial infarct Ventricular septal defect

Inferior infarct with ventricular septal rupture, hypotensive on intra-aortic ballon pump support preoperatively

Unrepairable Ventricular septal defect

9

68

M

5

Emergency

General

Sternotomy, Haemostasis

Acute Myocardial Infarction with pericardial tamponade

HTN, Gout

Failed paricardiocentesis in Emergency department, developed PEA and thoracotomy was done in emergency room releasing large amounts of blood and clots from pericardial cavity and open cardiac massage performed. Developed PEA on transfer to OT

10

72

F

4

Emergency

General

Open Cholecystectomy

Acute cholecystitis

ESRF on Peritoneal dialysis

DM, HTN, Previous stroke

PEA during intra-operative manipulation of gallbladder

11

68

M

3

Emergency

Combined Spinal-Epidural

Loop trephine colostomy

Advanced Rectal Cancer on palliative radiotherapy

Ischaemic cardiomyopathy, previous stroke, DM, HTN, Dyslipidaemia

Hypotension Intra-op.

In recovery, developed ischemic ECG changes, followed by ventricular fibrillation (VF)

12

78

F

3

Emergency

Local Anaesthesia

Angioplasty

ESRF, PVD for angioplasty

Arrest from likely bleeding.