Perioperative cardiac arrest: a rare event worth measuring

Br J Anaesth. 2025 Dec;135(6):1582-1585. doi: 10.1016/j.bja.2025.08.025. Epub 2025 Sep 22.

Abstract

Perioperative cardiac arrest remains a rare but devastating event, particularly among emergency surgery patients. Work by Anezaki and colleagues confirms that emergency and elective populations represent distinct patient groups requiring different care pathways. Anaesthetists should consider patient- and procedure-level factors to anticipate and mitigate risk, while embracing upstream prevention and strengthening perioperative systems. Healthcare systems must focus on reducing variation in care between institutions to improve overall outcomes.

Keywords: elective surgery; emergency surgery; perioperative cardiac arrest; population health; preoperative outcome.

Publication types

  • Editorial

MeSH terms

  • Heart Arrest* / epidemiology
  • Heart Arrest* / etiology
  • Heart Arrest* / prevention & control
  • Heart Arrest* / therapy
  • Humans
  • Intraoperative Complications* / therapy
  • Perioperative Care* / methods
  • Perioperative Period