Mortality in Anaesthesia

353 Pages·1983·8.86 MB·English

by  D. Albe-Fessard (auth.)

Mortality in
Anaesthesia
Edited by
M. D. Vickers and J. N. Lunn
With 106 Figures and 116 Tables
Springer-Verlag
Berlin Heidelberg New York Tokyo 1983
European Academy of Anaesthesiology Vol. 3
Professor M. D. Vickers and Dr. J. N. Lunn
Department of Anaesthetics
Welsh National School of Medicine
Heath Park, Cardiff CF 4XN, United Kingdom
ISBN-13: 978-3-540-12824-3 e-ISBN-13: 978-3-642-69355-7
DOl: 10.1007/978-3-642-69355-7
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© Springer-Verlag Berlin Heidelberg 1983
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2119/3140-543210
Acknowledgements
The editors would like to express their wannest appreciation to
the following: Dr. Heather Slowey, Lecturer, Welsh National
School of Medicine, for help with sub-editing; Miss Sara Marshall
for checking the references and general manuscript management,
and to Miss Doris Forbes for handling the secretarial and typing
work associated with the preparation of the manuscripts.
M.D. Vickers
J.N. Lunn
List of Senior Authors
Dr. H. van Aken,
Clinic for Anaesthesiology and Intensive Care, Westfalische
Wilhehns-Universitat, MUnster, FRG
Prof D. AZbe-Fessard,
Laboratoire de Physiologie des Centres Nervaux, Univ. de Pierre
et Marie Curie, Paris, France
Prof G. Barrier,
Dept. d' Anesthesiologie, Hopital Cochin-Port Royal, Paris, France
Prof H. Bergmann,
Eschelberg 20, Rottenegg, Austria
Prof H.P. Breivik,
Dept. of Anaesthesiology, Regional Hospital, University of Trond
heim, Trondheim, Norway
Dr. V. Chimonitski-Kypriou,
Dept. of Anaesthetics, Greek Church Hospital, Athens, Greece
Prof S. Cotev,
Hadassah University Hospital, Jerusalem, Israel
Prof J. Cruz,
Institut voor Anesthesiologie "Heyendael", Katholike Universiteit,
Nijmegen, The Netherlands
Prof L. DeZegue,
Dept. D'Anesthesiology, Groupe Hospitalier Necker, Paris, France
Prof J. Desmonts,
Dept. d'Anesthesie, Hopital Bichat, Paris, France
Prof W. Dick,
Inst. fUr Anaesthesiologie der Universitat, Ulm, FRG
Prof. 1. W. Dundee,
Dept. of Anaesthetics, The Queen's University of Belfast, Belfast,
Northern Ireland, U.K.
Dr. A. Fassoulaki,
Dept. of Anaesthetics, St. Stavas Hospital, Athens, Greece
Dr. B.L. Finer,
Dept. of Anaesthesiology, Samariterhemmet Hospital, Uppsala,
Sweden
Dr. W. Fitch,
University Department of Anaesthesia, Glasgow Royal Infirmary,
Glasgow, U.K.
Dr. S. Fitzal,
Klinik fUr Anaesthesie und allgemeine Intensivrnedizin der Univer
sitat, Wien, Austria
Dr. H. Gerbershagen,
Schmerz-Zentrum Mainz, Auf der Steig 14-16, Mainz, FRG
Prof. T.e. Gray,
6 Ravenmeols Lane, Formby, Liverpool, U.K.
Prof. W. Jurczyk,
Inst. of Anaesthesiology and Intensive Care, Academy of Medicine,
Poznan, Poland
Dr. B. Kay,
Old Farmhouse, Redmoor Lane, New Mills, Stockport, U.K.
Dr. 1. Kilian,
Zentrum fUr Anaesthesiologie der Universitat, Ulm, FRG
Prof. 1. Lassner,
Dept. d'Anesthesiologie, H8pital Cochin Port-Royal, Paris, France
Prof. W.F. List,
Institut fUr Anaesthesiologie der Universitat, Graz, Austria
Dr. 1.N. Lunn,
Dept. of Anaesthetics, Welsh National School of Medicine, Cardiff,
U.K.
Prof. F. Magora,
Dept. of Anesthesiology, Hadassah University Hospital, Jerusalem,
Israel
Prof C. Manni,
Instituto di Anestesiologia e Rianimazione, Universita Cattolica
del Sacro Cuore, Rome, Italy
Dr. 1. Montagne,
Dept. of Anaesthesia, Hopital Saint Louis, 75010 Paris, France
Prof 1. Motin,
Dept. d'Anesthesie-Reanimation, Hopital Ed. Herriot, Lyon,
France
Prof W. W. Mushin,
30, Bettws-y-Coed Rd., Cardiff, U.K.
Dr. 1. Neurnark,
Klinik fUr Anaesthesia und Intensivmedizin, Vienna, Austria
Prof o. Norlander,
Anestesiavdelningen, Karolinska Sjukhuset, Stockholm, Sweden
Dr. H. W. Opderbecke,
Vorstand der Anaesthesie Abteil. am Stadt. Klinikum, Niirnberg,
FRG
Dr. G. Parbrook,
University Dept. of Anaesthesia, Glasgow, U.K.
Prof C. Prys-Roberts,
Dept. of Anaesthetics, University of Bristol, Bristol, U.K.
Dr. M. Pinaud,
Dept. d'Anesthesie, Hotel Dieu, Centre Hospitalier Universitaire,
Nantes, France
Dr. R. Rizzi,
Dept. of Anaesthesia, Intensive Care and Pain Relief, Regional
Hospital of Vicenza, Italy
Dr. M. Rosen,
Dept. of Anaesthetics, University Hospital of Wales, Cardiff, U.K.
Dr. F.T. Schuh,
Dept. of Anaesthesiology, Christian-Albrechts University, Kiel,
FRG
Dr. D.H. Scott,
Dept. of Anaesthesia, Edinburgh Royal Infirmary, Edinburgh, U.K.
Dr. R. Simionescu,
Clinic for Anaesthesia and Intensive Care, Fundeni Hospital,
Bucharest, Rumania
Prof. A.A. Spence,
University Dept. of Anaesthetics, Western Infirmary, Glasgow,
U.K.
Prof. K. Steinbereithner,
Ludwig-Boltzmann-Institute for Experimental Anesthesiology
and Research in Intensive Care Medicine, Vienna, Austria
Prof. H. Stoekel,
Institut flir Anaesthesiologie, Universitat Bonn, Bonn-Venusberg,
FRG
Prof. L. Strunin,
Dept. of Anaesthesia, Foothills Hospital, Calgary, Alberta, Canada
Prof. S. Sun,
Cerrahpasa Hast., Istanbul, Turkey
Dr. P.M Suter,
Hopital Cantonal Universitaire, Geneva, Switzerland
Dr. M. Swerdlow,
North West Regional Pain Relief Centre, Hope Hospital, University
of Manchester, School of Medicine, Manchester, U.K.
Prof. R. Szulc,
Institute of Anaesthesiology and Intensive Care, Academy of
Medicine, Poznan, Poland
Prof. T. Tammisto,
Department of Anaesthesia, University Central Hospital, Helsinki,
Finland
Prof. J. Tarnow,
Dept. of Anaesthesia, Charlottenburg Clinic, Free University of
Berlin, FRG
Prof. M.D. Vickers,
Dept. of Anaesthetics, Welsh National School of Medicine, Cardiff,
U.K.
Prof. K.H. Weis,
Institut flir Anaesthesiologie der Universitat, Wtirzburg, FRG
Dr. J.G. Whitwam,
Dept. of Anaesthetics, Royal Postgraduate Medical School,
London, U.K.
Dr. W.S. Wren,
Dept. of Anaesthetics, Our Lady's Hospital for Sick Children,
Dublin, Eire
Prof M. Zindler,
lnst. flir Anaesthesiologie der Universitat, Moorenstr. 5,
D-4000 Dusseldorf, FRG
Dr. G. Zocche,
Viale Enrico Thovez 57/3, Turin, Italy
Table of Contents
Guest Lecture:
On the Possible Role of the two Central Projection
Areas of the Spinothalamic Inflow in the Appreciation
of Pain
(D. Albe-Fessard) . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Debate. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Symposium: Complications in Anaesthesia
Epidemiological Aspects
Mortality Associated with Anaesthesia - The Back
ground to the British Study
(w. W. Mu sh in ) . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 17
Anaesthetic Mortality in Britain and France - Methods
and Results of the British Study
(J.N. Lunn) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Morbidity and Mortality Associated with Anaesthesia -
French Survey: Preliminary Results
(F. Hatton, L. Tiret, G. Vourc'h, J.M. Desmonts,
J.c. Otteni, P. Sherpereel). . . . . . . . . . . . . . . . . . . . .. 25
Aspects of Anaesthetic Mortality
Maternal Mortality Associated with Anaesthesia in
England and Wales
(M. Rosen). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 39
Anaesthesia and Maternal Mortality in France
(G. Barrier) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 45