الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
A very limited nationwide data on anesthesia related mortality and morbidity are available in our locality. So, in this study we concern the mortality and morbidity for patients undergoing surgery in Mansoura Urology and Nephrology Center (MUNC) In two subsequent years from Jan. 2005 to Dec.2006. We depend on the patient information system (PIS) of the center, where patient history, medical status, laboratory and radiological investigations were recorded in full details. In addition to complete reports of surgical procedures done, postoperative course and full discharge situation. ICU records, anesthetic sheets other paper records of the patients were revised. Anesthesia related mortality was death which occurs either before complete recovery from the action of a drug or drugs given to facilitate the surgical intervention or from an incident which occurred during the perioperative period before completes recovery from the surgical procedure. Mortality was analyzed regarding the possible cause of death was categorized in to: Mostly anesthesia related, Anesthesia contributed, non anesthesia related (i.e. Not relevant to anesthesia at all). Difficult to recognize (death was inevitable). This work was done to identify multiple risk factors related to anesthesia management for perioperative deaths. This demonstrated that total incidence of mortality ratio was 1 % from all surgical cases. There was no anesthesia related mortality, and anesthesia contributed mortality was 11.2 %. Most mortality cases were of ASA score III and VI (0.2 % 14.1 % of the same group number respectively). Radical cystectomy represents about 50 % of total mortality, as it is major operation and represents high number of cases (18.5 % of total population). In conclusion, the mortality rate of our study is 1 %, which was found to be near the international ratio as it was 1.3 % for general anesthesia in New York, and in Austria it was one case for 56.000 anesthetized patients. The good predictors of the perioperative mortality and morbidity incidence were preoperative ASA physical status and the complexity of the surgical procedure.