| Guideline for resuscitation in cardiac arrest after cardiac surgery. | |
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MedLine Citation:
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PMID: 19297185 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The Clinical Guidelines Committee of the European Association for Cardio-Thoracic Surgery provides this professional view on resuscitation in cardiac arrest after cardiac surgery. This document was created using a multimodal methodology for evidence generation including the extrapolation of existing guidelines from the International Liaison Committee on Resuscitation where possible, our own structured literature reviews on issues particular to cardiac surgery, an international survey on resuscitation hosted by CTSNet and manikin simulations of potential protocols. This protocol differs from existing generic guidelines in a number of areas, the most import of which are the following: successful treatment of cardiac arrest after cardiac surgery is a multi-practitioner activity with six key roles that should be allocated and rehearsed on a regular basis; in ventricular fibrillation, three sequential attempts at defibrillation (where immediately available) should precede external cardiac massage; in asystole or extreme bradycardia, pacing (where immediately available) should precede external cardiac massage; where the above measures fail, and in pulseless electrical activity, early resternotomy is advocated; adrenaline should not be routinely given; protocols for excluding reversible airway and breathing complications and for safe emergency resternotomy are given. This guideline is subject to continuous informal review, and when new evidence becomes available. |
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Authors:
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Joel Dunning; Alessandro Fabbri; Philippe H Kolh; Adrian Levine; Ulf Lockowandt; Jonathan Mackay; Alain J Pavie; Tim Strang; Michael I M Versteegh; Samer A M Nashef; |
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Publication Detail:
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Type: Journal Article; Practice Guideline Date: 2009-03-17 |
Journal Detail:
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Title: European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery Volume: 36 ISSN: 1873-734X ISO Abbreviation: Eur J Cardiothorac Surg Publication Date: 2009 Jul |
Date Detail:
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Created Date: 2009-06-22 Completed Date: 2009-10-19 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8804069 Medline TA: Eur J Cardiothorac Surg Country: Germany |
Other Details:
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Languages: eng Pagination: 3-28 Citation Subset: IM |
Affiliation:
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Department of Cardiothoracic Surgery, James Cook University Hospital, Middlesbrough, UK. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Cardiac Surgical Procedures* Clinical Protocols Electric Countershock Epinephrine / therapeutic use Evidence-Based Medicine Heart Arrest / diagnosis, therapy* Heart Massage / methods Humans Intensive Care / methods Intensive Care Units / organization & administration Postoperative Complications / diagnosis, therapy* Resuscitation / methods* Sternum / surgery Vasoconstrictor Agents / therapeutic use |
| Chemical | |
Reg. No./Substance:
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0/Vasoconstrictor Agents; 51-43-4/Epinephrine |
| Investigator | |
Investigator/Affiliation:
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Zulfiquar Adam / ; Sharil Ariffin / ; Tara Bartley / ; Claire Blood / ; Sameena Choudrey / ; Debbie Danitsch / ; Moloy Das / ; Arosha Dissanayake / ; Mike Foley / ; Katy Gofton / ; Sarah Hodson / ; John Jerstice / ; Pia Khan / ; Boudewijn Leeuwenburgh / ; Kevin Mackway-Jones / ; Jacintha Mass / ; June McKeown / ; Jay Nandi / ; Mike Poullis / ; Brian Prendergast / ; David Quayle / ; Lydia Richardson / ; Helen Rodriquez / ; Andrew Roscoe / ; Rex Stanbridge / ; Hariharan Subramanian / ; Andrew Tjon / ; Myrto Tsagkataki / ; Darragh Twomey / ; Akbar Vohra / ; Stephen Webb / ; Edwin Woo / ; Elaine Yap / |
| Comments/Corrections | |
Comment In:
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Eur J Cardiothorac Surg. 2009 Aug;36(2):427; author reply 427-8
[PMID:
19520584
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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