POCA Registry case report data
| Section of data form | Major data elements |
|---|---|
| Section 1: Patient data | • Age, sex, weight, height |
| • ASA physical status | |
| • Emergency status | |
| Section 2: Procedure data | • Surgical procedure |
| • Inpatient v outpatient | |
| • Time of induction | |
| • Type of anesthetic | |
| Section 3: Personnel | • Care team composition |
| • Board certification; fellowship training | |
| Section 4: Preinduction/sedation/MAC | • Types of premedication and sedative drugs |
| • Monitored anesthesia care drugs | |
| Section 5: Premedications or sedatives | • Additional medications active immediately prior to induction of anesthesia |
| Section 6: Regional anesthesia induction | • Type of regional anesthetic |
| • Test dose | |
| • Agents, concentration, dosing | |
| Section 7: General anesthesia induction and maintenance | • Induction and maintenance agents, dosing |
| • Inhalation agent concentrations | |
| • Muscle relaxants | |
| Section 8: Status immediately prior to cardiac arrest | • Position of patient |
| • Ventilation (spontaneous, assisted, controlled) | |
| • Estimated intravascular volume deficit | |
| • Airway support; monitors in use | |
| • Clinical warning signs of impending arrest | |
| Section 9: Status during cardiac arrest | • Time of arrest |
| • Location | |
| • Phase of care | |
| • Causes of arrest | |
| Section 10: Resuscitation data | • Initial rhythm at time resuscitation started |
| • Palpable pulse? | |
| • Interventions: timing, and success of each | |
| • Resuscitative drugs and fluids | |
| • Time of sustained return to spontaneous circulation or death | |
| Section 11: Outcomes of cardiac arrest | • Injury at 24 hours after arrest |
| • If survived, injury at last assessment | |
| Section 12: Your assessment | • Rate contribution of anesthesia, surgery and patient condition to the arrest |
| • Would better evaluation, preparation or monitoring have prevented the arrest? | |
| • Was the arrest appropriately treated? | |
| Section 13: Follow up criteria | • If patient status is expected to change or further information that might clarify cause of arrest is pending, this information may be submitted as a follow up report to the initial case report |
| Section 14: Summary of events | • Narrative describing sequence of events and causal relationships leading to cardiac arrest, including details not otherwise covered |