Cardiac arrest & resuscitation
Advanced life support interventions during intra‐operative cardiac arrest among adults as reported to the 7th National Audit Project of the Royal College of Anaesthetists
Authors' conclusion
The specific characteristics of intra-operative cardiac arrest imply that its optimal treatment requires modifications to standard advanced life support guidelines.
Study context
- Population
- Adults (aged > 18 years) with intra-operative cardiac arrest during anaesthesia (induction to emergence) for non-obstetric proceduresof 881 registry patients
- Participants
- 548 adults
- Outcome
- Incidence and outcome of intra-operative cardiac arrest; ALS interventions used by anaesthetists
Methodological details7th National Audit Project of the Royal College of Anaesthetists, baseline survey
- 7th National Audit Project of the Royal College of Anaesthetists
- Baseline survey
Main finding
As reported in the abstract
Outcome after intra-operative cardiac arrest
Sustained ROSC
425
78%
Alive at time of reporting
338
62%
Observational data: associations, not effects.
Further findings
ALS interventions
- Adrenaline 1 mg bolus in patients with pulseless electrical activity or bradycardia (n = 365)
- 237 (65%)
- Precordial thump
- 14 (3%)
- Precordial thump: initial rhythm shockable
- 1
- Calcium (gluconate or chloride)
- 51 (9%)
- 8.4% sodium bicarbonate
- 25 (5%)
- Thrombolytic drug
- 5 (1%)
- ECPR
- 9 (2%)
- ECPR during cardiac procedures
- 8
- Specific indications for calcium and bicarbonate in less than half of patients
- Precordial thump associated with ROSC at next rhythm check in almost three-quarters
Baseline survey: threshold to start chest compressions
- Anaesthetists who would start compressions at non-invasive systolic pressure < 40-50 mmHg
- > 50%
Original publication
Advanced life support interventions during intra‐operative cardiac arrest among adults as reported to the 7th National Audit Project of the Royal College of Anaesthetists. Anaesthesia. Published 10 May 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →