The media reported the death of a 22-year-old boy after surgery to correct the nasal septum. Previously, we repeatedly wrote about the death of patients in the dentist’s chair, aesthetic surgery clinics. Who is at greater risk of death after or during surgery, and how can they be avoided?
answered this question surgeon Kirill Vasiliev:
“The chance of death is much higher during emergency operations, when the patient did not undergo an in-depth preoperative examination. The surgeon and the anesthetist are not aware (or not fully aware) of the state of the cardiovascular system, respiratory systems, hematopoiesis, excretion, blood coagulation. In addition, emergency operations are often performed against the background of other, sometimes severe, comorbidities, which also increases the risk of death.
Often, death on the operating table occurs in patients with severe injuries (especially with traumatic brain injury, massive bleeding, extensive burns).
Deaths during elective surgery are very rare today. Before planned operations, patients undergo a comprehensive examination, including ECG, chest X-ray, general and biochemical blood and urine tests, and a study of the blood coagulation system (coagulogram). If a pathology is detected on the part of life support systems, appropriate therapy is carried out.
In addition, the presence of concomitant diseases is taken into account by the operating team, and in the preoperative period, as well as during the operation, an appropriate correction is carried out.
The probability of death due to the erroneous actions of a surgeon or anesthetist is negligible today, since only doctors with the appropriate qualifications are allowed to perform operations and give anesthesia. And even in the event of emergency situations (massive bleeding, violation of cardiac activity, etc.), the operating team in the vast majority of cases copes with complications.
Cases of sudden death during surgery, when cardiac arrest occurs for no apparent reason, are casuistically rare.