Intraoperative Cardiac Arrest - Revision history

WikiSysop at 13:25, 7 January 2026

2026-01-07T13:25:07Z

← Older revision		Revision as of 13:25, 7 January 2026
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	[https://www.resuscitationjournal.com/action/showPdf?pii=S0300-9572%2825%2900001-2 Pharmacological interventions for the acute treatment of hyperkalaemia: A systematic reviewand meta-analysis]		[https://www.resuscitationjournal.com/action/showPdf?pii=S0300-9572%2825%2900001-2 Pharmacological interventions for the acute treatment of hyperkalaemia: A systematic reviewand meta-analysis]

			Moitra, V. , Banerjee, A. , Ben-Jacob, T. , Cortegiani, A. , Einav, S. , Gitman, M. , Ippolito, M. , Klock, P. , Lakbar, I. , Maccioli, G. , McEvoy, M. , Mueller, D. , Shander, A. , Sreedharan, R. , Stahl, D. , Tong, J. , Weinberg, G. , Williams, G. , O’Connor, M. & Nunnally, M. (2025). Perioperative Resuscitation and Life Support (PeRLS): An Update. Anesthesiology, 143 (6), 1453-1483. doi: 10.1097/ALN.0000000000005728.

WikiSysop at 03:47, 15 March 2025

2025-03-15T03:47:14Z

← Older revision		Revision as of 03:47, 15 March 2025
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	[https://www.sciencedirect.com/science/article/pii/S2666520424003138 Incidence of cardiac arrest following implementation of a predictive analytics display in a pediatric intensive care unit]		[https://www.sciencedirect.com/science/article/pii/S2666520424003138 Incidence of cardiac arrest following implementation of a predictive analytics display in a pediatric intensive care unit]

	[https://www.resuscitationjournal.com/action/showPdf?pii=S0300-9572%2825%2900001-2 Pharmacological interventions for the acute		[https://www.resuscitationjournal.com/action/showPdf?pii=S0300-9572%2825%2900001-2 Pharmacological interventions for the acute treatment of hyperkalaemia: A systematic reviewand meta-analysis]
	treatment of hyperkalaemia: A systematic reviewand meta-analysis]

WikiSysop at 03:46, 15 March 2025

2025-03-15T03:46:36Z

← Older revision		Revision as of 03:46, 15 March 2025
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	[https://www.sciencedirect.com/science/article/pii/S2666520424003138 Incidence of cardiac arrest following implementation of a predictive analytics display in a pediatric intensive care unit]		[https://www.sciencedirect.com/science/article/pii/S2666520424003138 Incidence of cardiac arrest following implementation of a predictive analytics display in a pediatric intensive care unit]

			[https://www.resuscitationjournal.com/action/showPdf?pii=S0300-9572%2825%2900001-2 Pharmacological interventions for the acute
			treatment of hyperkalaemia: A systematic reviewand meta-analysis]

WikiSysop at 01:32, 10 January 2025

2025-01-10T01:32:04Z

← Older revision		Revision as of 01:32, 10 January 2025
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	[https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/anae.16251 Peri-operative cardiac arrest in children as reported to the 7th National Audit Project of the Royal College of Anaesthetists]		[https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/anae.16251 Peri-operative cardiac arrest in children as reported to the 7th National Audit Project of the Royal College of Anaesthetists]

			[https://www.sciencedirect.com/science/article/pii/S2666520424003138 Incidence of cardiac arrest following implementation of a predictive analytics display in a pediatric intensive care unit]

WikiSysop at 14:19, 5 June 2024

2024-06-05T14:19:15Z

← Older revision		Revision as of 14:19, 5 June 2024
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	[https://pedsanesthesia.org/pedi-crisis-app/ PEDI CRISIS 2.0]		[https://pedsanesthesia.org/pedi-crisis-app/ PEDI CRISIS 2.0]

			[https://pubmed.ncbi.nlm.nih.gov/37788395/ Causes of Perioperative Cardiac Arrest: Mnemonic, Classification, Monitoring, and ActionsMeng L, Rasmussen M, Abcejo AS, Meng DM, Tong C, Liu H. Causes of Perioperative Cardiac Arrest: Mnemonic, Classification, Monitoring, and Actions. Anesthesia and analgesia 2024;138(6):1215-1232]

			[https://pubmed.ncbi.nlm.nih.gov/24103233/ The effect of adherence to ACLS protocols on survival of event in the setting of in-hospital cardiac arrest. Resuscitation 2014;85(1):82-7]

	[https://www.sciencedirect.com/science/article/abs/pii/S0735675720304447?via%3Dihub Esmolol in the management of pre-hospital refractory ventricular fibrillation: A systematic review and meta-analysis]		[https://www.sciencedirect.com/science/article/abs/pii/S0735675720304447?via%3Dihub Esmolol in the management of pre-hospital refractory ventricular fibrillation: A systematic review and meta-analysis]

	[https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/anae.16251 Peri-operative cardiac arrest in children as reported to the 7th National Audit Project of the Royal College of Anaesthetists]		[https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/anae.16251 Peri-operative cardiac arrest in children as reported to the 7th National Audit Project of the Royal College of Anaesthetists]

WikiSysop at 18:24, 7 May 2024

2024-05-07T18:24:09Z

← Older revision		Revision as of 18:24, 7 May 2024
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	[https://www.sciencedirect.com/science/article/abs/pii/S0735675720304447?via%3Dihub Esmolol in the management of pre-hospital refractory ventricular fibrillation: A systematic review and meta-analysis]		[https://www.sciencedirect.com/science/article/abs/pii/S0735675720304447?via%3Dihub Esmolol in the management of pre-hospital refractory ventricular fibrillation: A systematic review and meta-analysis]

			[https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/anae.16251 Peri-operative cardiac arrest in children as reported to the 7th National Audit Project of the Royal College of Anaesthetists]

WikiSysop at 18:08, 27 January 2024

2024-01-27T18:08:39Z

← Older revision		Revision as of 18:08, 27 January 2024
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	[https://pedsanesthesia.org/pedi-crisis-app/ PEDI CRISIS 2.0]		[https://pedsanesthesia.org/pedi-crisis-app/ PEDI CRISIS 2.0]

	[https://www.sciencedirect.com/science/article/abs/pii/S0735675720304447?via%3Dihub Esmolol in the management of pre-hospital refractory ventricular fibrillation: A systematic review and meta-analysis]		[https://www.sciencedirect.com/science/article/abs/pii/S0735675720304447?via%3Dihub Esmolol in the management of pre-hospital refractory ventricular fibrillation: A systematic review and meta-analysis]

WikiSysop at 18:08, 27 January 2024

2024-01-27T18:08:22Z

← Older revision		Revision as of 18:08, 27 January 2024
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	[https://pedsanesthesia.org/pedi-crisis-app/ PEDI CRISIS 2.0]		[https://pedsanesthesia.org/pedi-crisis-app/ PEDI CRISIS 2.0]
			[https://www.sciencedirect.com/science/article/abs/pii/S0735675720304447?via%3Dihub Esmolol in the management of pre-hospital refractory ventricular fibrillation: A systematic review and meta-analysis]

WikiSysop at 14:32, 20 November 2023

2023-11-20T14:32:08Z

← Older revision		Revision as of 14:32, 20 November 2023
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	Children (<12 year old): 2x more likely to experience CA, infants (<1 year old): 10x, neonates (<1month old): 50x		Children (<12 year old): 2x more likely to experience CA, infants (<1 year old): 10x, neonates (<1month old): 50x
			'''<u>Causes for Pediatric Perioperative Arrest:</u>'''<ref name=":0">Shaffner DH, Heitmiller ES, Deshpande JK. Pediatric perioperative life support. Anesth Analg. 2013 Oct;117(4):960-979. doi: 10.1213/ANE.0b013e3182a1f3eb. Epub 2013 Sep 10. PMID: 24023023.</ref>

	'''<u>Causes for Pediatric Perioperative Arrest:</u>'''<ref name=":0">Shaffner DH, Heitmiller ES, Deshpande JK. Pediatric perioperative life support. Anesth Analg. 2013 Oct;117(4):960-979. doi: 10.1213/ANE.0b013e3182a1f3eb. Epub 2013 Sep 10. PMID: 24023023.</ref>		'''<u>Causes for Pediatric Perioperative Arrest:</u>'''<ref name=":0">Shaffner DH, Heitmiller ES, Deshpande JK. Pediatric perioperative life support. Anesth Analg. 2013 Oct;117(4):960-979. doi: 10.1213/ANE.0b013e3182a1f3eb. Epub 2013 Sep 10. PMID: 24023023.</ref>
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	** Bradycardia or cardiovascular collapse: - Traction, pressure, or insufflation involving the abdomen, eye, neck, or heart - Undiagnosed cardiomyopathy		** Bradycardia or cardiovascular collapse: - Traction, pressure, or insufflation involving the abdomen, eye, neck, or heart - Undiagnosed cardiomyopathy
	** Overdose - Weight-based dosing of IV anesthetic on induction in a child with hypovolemia or compensated shock may lead to collapse		** Overdose - Weight-based dosing of IV anesthetic on induction in a child with hypovolemia or compensated shock may lead to collapse
			'''<u>Important Resuscitation Steps</u>'''<ref name=":0" />'''<u>:</u>'''

	'''<u>Important Resuscitation Steps</u>'''<ref name=":0" />'''<u>:</u>'''		'''<u>Important Resuscitation Steps</u>'''<ref name=":0" />'''<u>:</u>'''
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	# Assign roles		# Assign roles

	~~'''<u>Resuscitation Algorithm for Intraoperative Pulseless Arrest:</u>'''~~

	~~Source~~: ~~Shaffner DH, Heitmiller ES, Deshpande JK. Pediatric perioperative life support. Anesth Analg. 2013 Oct;117(4):960-979. doi~~: ~~10.1213~~/~~ANE.0b013e3182a1f3eb. Epub 2013 Sep 10. PMID: 24023023.~~		'''<u>Resuscitation Algorithm for Intraoperative Pulseless Arrest</u>'''<ref name=":0" />'''<u>:</u>'''
	[[File:PALS Shaffner.jpg\|thumb\|Intraoperative Pulseless Arrest Resuscitation]]Important Notes:
			[[File:PALS Shaffner.jpg\|thumb\|Intraoperative Pulseless Arrest Resuscitation\|left]]Important Notes:
	* Medication have not been shown to change outcome, more emphasis on effective compression.		* Medication have not been shown to change outcome, more emphasis on effective compression.
	* Compression depth:		* Compression depth:
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	* IO access is as effective as IV access and may be easier to obtain during circulatory collapse		* IO access is as effective as IV access and may be easier to obtain during circulatory collapse

	[[File:Prone Chest Compression.jpg\|thumb\|Prone Chest Compression (Shaffner et al. 2013)]]		[[File:Prone Chest Compression.jpg\|thumb\|Prone Chest Compression (Shaffner et al. 2013)\|left]]


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	* MVO2		* MVO2
	** <30% was associated with no ROSC		** <30% was associated with no ROSC


	'''<u>Post Resuscitation:</u>'''		'''<u>Post Resuscitation:</u>'''

WikiSysop at 14:29, 20 November 2023

2023-11-20T14:29:01Z

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	<ref>Fister N, Syed A, Tobias JD. Intraoperative Cardiac Arrest: Immediate Treatment and Diagnostic Evaluation. J Med Cases. 2021 Jan;12(1):18-22. doi: 10.14740/jmc3579. Epub 2020 Nov 18. PMID: 34434422; PMCID: PMC8383635.</ref>'''<u>~~Incidence of Perioperative Cardiac Arrest (CA)~~:</u>'''		'''<u>Incidence of Perioperative Cardiac Arrest (CA)</u>'''<ref>Fister N, Syed A, Tobias JD. Intraoperative Cardiac Arrest: Immediate Treatment and Diagnostic Evaluation. J Med Cases. 2021 Jan;12(1):18-22. doi: 10.14740/jmc3579. Epub 2020 Nov 18. PMID: 34434422; PMCID: PMC8383635.</ref>'''<u>:</u>'''

	Increase with higher ASA status		Increase with higher ASA status
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	Children (<12 year old): 2x more likely to experience CA, infants (<1 year old): 10x, neonates (<1month old): 50x		Children (<12 year old): 2x more likely to experience CA, infants (<1 year old): 10x, neonates (<1month old): 50x

	<ref>Shaffner DH, Heitmiller ES, Deshpande JK. Pediatric perioperative life support. Anesth Analg. 2013 Oct;117(4):960-979. doi: 10.1213/ANE.0b013e3182a1f3eb. Epub 2013 Sep 10. PMID: 24023023.</ref>~~'''<u>Causes for Pediatric Perioperative Arrest:</u>'''~~		'''<u>Causes for Pediatric Perioperative Arrest:</u>'''<ref name=":0">Shaffner DH, Heitmiller ES, Deshpande JK. Pediatric perioperative life support. Anesth Analg. 2013 Oct;117(4):960-979. doi: 10.1213/ANE.0b013e3182a1f3eb. Epub 2013 Sep 10. PMID: 24023023.</ref>

	* CIRCULATORY FAILURE:		* CIRCULATORY FAILURE:
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	** Overdose - Weight-based dosing of IV anesthetic on induction in a child with hypovolemia or compensated shock may lead to collapse		** Overdose - Weight-based dosing of IV anesthetic on induction in a child with hypovolemia or compensated shock may lead to collapse

	<~~ref~~>~~Source: Shaffner DH, Heitmiller ES, Deshpande JK. Pediatric perioperative life support. Anesth Analg. 2013 Oct;117(4):960-979. doi: 10.1213~~/~~ANE.0b013e3182a1f3eb. Epub 2013 Sep 10. PMID~~: ~~24023023.<~~/~~ref~~>'''<u>~~Important Resuscitation Steps~~:</u>'''		'''<u>Important Resuscitation Steps</u>'''<ref name=":0" />'''<u>:</u>'''

	# Inform team		# Inform team