Appendix B
Anesthesia-Specific Adverse Events and Definitions
None
No anesthesia-related adverse events occurred
Dental Injury
Indicate whether the patient experienced a dental injury such as lip
or gum laceration or tooth injury
Indicate whether the patient experienced preoperative,
intraoperative, or postoperative respiratory arrest
requiringrequriing unanticipated airway support such as placement
of an LMA or endotracheal tube where not part of the original
anesthetic plan
Indicate whether the patient experienced an unanticipated difficult
intubation and/or reintubation
Indicate whether the patient experienced post-extubation stridor or
sub-glottic stenosis requiring therapy such as racemic epinephrine
or intravenous dexamethasone or HeliOx
Indicate whether the patient experienced an extubation in the OR
(or any procedure location) or during patient transfer to or from
procedure location that was not part of the anesthetic plan.
Indicate whether the patient experienced endotracheal tube
migration requiring repositioning after initial intubation and
securing. Endotracheal tube was either too deep or too high.
Indicate whether the patient experienced an airway injury related
to ventilation such as barotrauma or pneumothorax
Respiratory Arrest
Difficult Intubation/Reintubation
Stridor/Subglottic Stenosis
Extubation
Endotracheal Tube Migration
Airway Injury
Arrhythmia - Central Venous Line
Placement
Indicate whether the patient experienced arrhythmia during central
line placement requiring therapy other than withdrawing the wire
Myocardial Injury - Central Venous
Line Placement
Indicate whether the patient experienced a myocardial perforation
or injury with central venous line placement
Vascular Compromise - Central
Venous Line Placement
Indicate whether the patient experienced a vascular compromise
(e.g., ischemic leg, venous obstruction) secondary to central venous
line placement
Indicate whether the patient experienced a pneumothorax during
central venous line placement
Indicate whether the patient experienced difficult vascular access
requiring more than one hour of attempted access
Pneumothorax - Central Venous
Line Placement
Vascular Access
Hematoma
Indicate whether the patient experienced a hematoma requiring
cancellation of the procedure or an additional surgical exploration
Arterial Puncture
Indicate whether the patient experienced an arterial puncture with
hematoma formation, hemodynamic consequence or neurologic
injury
Intravenous or intra-arterial air embolism causing hemodynamic,
local or systemic injury
Indicate whether the patient experienced bleeding at the regional
anesthetic site or with aspiration
Indicate whether an intrathecal puncture occurred during
placement of a regional anesthetic that was not part of the
anesthetic plan
Intravenous/Intra-arterial Air
Embolism
Bleeding - Regional Anesthetic Site
Intrathecal Puncture - Regional
Local Anesthetic Toxicity –
Regional
Indicate whether the patient experienced local anesthetic toxicity
during administration of regional anesthesia
Neurologic Injury - Regional
Indicate if a neurologic injury occurred potentially associated with a
regional anesthetic
Indicate whether the patient experienced an
anaphylaxis/anaphylactoid reaction (hives, wheezing, cardiovascular
changes)
Indicate whether the patient experienced a non-allergic drug
reaction (e.g., "Red Man" syndrome with vancomycin)
Anaphylaxis/Anaphylactoid
Reaction
Non-allergic Drug Reaction
Medication Administration
Indicate if a medication was administered that was not part of the
anesthetic plan at the time of administration
Medication Dosage
Indicate if a medication that was part of the anesthetic plan was
given at a dosage or time different than planned
Intraoperative Recall
Indicate whether the patient experienced any intraoperative recall
Malignant Hyperthermia
Indicate whether the patient experienced either a suspected or
confirmed episode of Malignant Hyperthermia requiring therapy
with dantrolene.
Indicate whether the patient experienced a significant protamine
reaction requiring additional intervention (e.g., hypotension,
bronchospasm, elevated pulmonary artery pressure) other than
slowing the rate of administration
Indicate whether the patient experienced cardiac arrest not related
to the procedure
Indicate whether the patient experienced esophageal bleeding or
rupture during transesophageal echocardiogram (TEE) placement or
manipulation
Indicate whether the patient experienced esophageal chemical burn
related to transesophageal echocardiogram (TEE) probe.
Protamine Reaction
Cardiac Arrest - Unrelated to
Surgery
Esophageal Bleeding / Rupture
Esophageal Chemical Burn
Airway Compromise
TEE-Related Extubation
Patient Transfer Event
Neurologic Injury
Indicate whether the patient experienced an airway compromise
during transesophageal echocardiogram (TEE) placement /
manipulation requiring removal of TEE.
Indicate if the endotracheal tube was removed from the trachea
during TEE manipulation
Indicate whether the patient experienced any trauma related to
transfers from stretcher to bed or bed to stretcher or similar
transfers.
Indicate whether the patient experienced a neurologic injury as a
result of patient positioning during anesthetic care.