Cardiac arrest in the perioperative period: a consensus guideline for identification, treatment, and prevention from the European Society of Anaesthesiology and Intensive Care and the European Society for Trauma and Emergency Surgery
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Cardiac arrest in the perioperative period : a consensus guideline for identification, treatment, and prevention from the European Society of Anaesthesiology and Intensive Care and the European Society for Trauma and Emergency Surgery. / Hinkelbein, Jochen; Andres, Janusz; Bottiger, Bernd W.; Brazzi, Luca; De Robertis, Edoardo; Einav, Sharon; Gwinnutt, Carl; Kuvaki, Bahar; Krawczyk, Pawel; McEvoy, Matthew; Mertens, Pieter; Moitra, Vivek; Navarro-Martinez, Jose; Nunnally, Mark; O’Connor, Michael; Rall, Marcus; Ruetzler, Kurt; Schmitz, Jan; Thies, Karl; Tilsed, Jonathan; Zago, Mauro; Afshari, Arash.
I: European Journal of Anaesthesiology, Bind 40, Nr. 10, 2023, s. 724-736.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Cardiac arrest in the perioperative period
T2 - a consensus guideline for identification, treatment, and prevention from the European Society of Anaesthesiology and Intensive Care and the European Society for Trauma and Emergency Surgery
AU - Hinkelbein, Jochen
AU - Andres, Janusz
AU - Bottiger, Bernd W.
AU - Brazzi, Luca
AU - De Robertis, Edoardo
AU - Einav, Sharon
AU - Gwinnutt, Carl
AU - Kuvaki, Bahar
AU - Krawczyk, Pawel
AU - McEvoy, Matthew
AU - Mertens, Pieter
AU - Moitra, Vivek
AU - Navarro-Martinez, Jose
AU - Nunnally, Mark
AU - O’Connor, Michael
AU - Rall, Marcus
AU - Ruetzler, Kurt
AU - Schmitz, Jan
AU - Thies, Karl
AU - Tilsed, Jonathan
AU - Zago, Mauro
AU - Afshari, Arash
N1 - Publisher Copyright: © 2023 Lippincott Williams and Wilkins. All rights reserved.
PY - 2023
Y1 - 2023
N2 - INTRODUCTION Cardiac arrest in the operating room is a rare but potentially life-threatening event with mortality rates of more than 50%. Contributing factors are often known, and the event is recognised rapidly as patients are usually under full monitoring. This guideline covers the perioperative period and is complementary to the European Resuscitation Council (ERC) guidelines. MATERIAL AND METHODS The European Society of Anaesthesiology and Intensive Care and the European Society for Trauma and Emergency Surgery jointly nominated a panel of experts to develop guidelines for the recognition, treatment and prevention of cardiac arrest in the perioperative period. A literature search was conducted in MEDLINE, EMBASE, CINAHL and the Cochrane Central Register of Controlled Trials. All searches were restricted to publications from 1980 to 2019 inclusive and to the English, French, Italian and Spanish languages. The authors also contributed individual, independent literature searches. RESULTS This guideline contains background information and recommendation for the treatment of cardiac arrest in the operating room environment, and addresses controversial topics such as open chest cardiac massage (OCCM), resuscitative endovascular balloon occlusion (REBOA) and resuscitative thoracotomy, pericardiocentesis, needle decompression and thoracostomy. CONCLUSION Successful prevention and management of cardiac arrest during anaesthesia and surgery requires anticipation, early recognition and a clear treatment plan. The ready availability of expert staff and equipment must also be taken into consideration. Success not only depends on medical knowledge, technical skills and a well organised team using crew resource management but also on an institutional safety culture embedded in everyday practice through continuous education, training and multidisciplinary co-operation.
AB - INTRODUCTION Cardiac arrest in the operating room is a rare but potentially life-threatening event with mortality rates of more than 50%. Contributing factors are often known, and the event is recognised rapidly as patients are usually under full monitoring. This guideline covers the perioperative period and is complementary to the European Resuscitation Council (ERC) guidelines. MATERIAL AND METHODS The European Society of Anaesthesiology and Intensive Care and the European Society for Trauma and Emergency Surgery jointly nominated a panel of experts to develop guidelines for the recognition, treatment and prevention of cardiac arrest in the perioperative period. A literature search was conducted in MEDLINE, EMBASE, CINAHL and the Cochrane Central Register of Controlled Trials. All searches were restricted to publications from 1980 to 2019 inclusive and to the English, French, Italian and Spanish languages. The authors also contributed individual, independent literature searches. RESULTS This guideline contains background information and recommendation for the treatment of cardiac arrest in the operating room environment, and addresses controversial topics such as open chest cardiac massage (OCCM), resuscitative endovascular balloon occlusion (REBOA) and resuscitative thoracotomy, pericardiocentesis, needle decompression and thoracostomy. CONCLUSION Successful prevention and management of cardiac arrest during anaesthesia and surgery requires anticipation, early recognition and a clear treatment plan. The ready availability of expert staff and equipment must also be taken into consideration. Success not only depends on medical knowledge, technical skills and a well organised team using crew resource management but also on an institutional safety culture embedded in everyday practice through continuous education, training and multidisciplinary co-operation.
U2 - 10.1097/EJA.0000000000001813
DO - 10.1097/EJA.0000000000001813
M3 - Journal article
C2 - 37218626
AN - SCOPUS:85176952580
VL - 40
SP - 724
EP - 736
JO - European Journal of Anaesthesiology, Supplement
JF - European Journal of Anaesthesiology, Supplement
SN - 0952-1941
IS - 10
ER -
ID: 387380677