Management of Intraoperative Cardiac Arrest

Aalok K Kacha; Megan Henley Hicks; Christopher Mahrous; Allison Dalton; Talia K Ben-Jacob

doi:10.1016/j.anclin.2022.10.002

Management of Intraoperative Cardiac Arrest

Anesthesiol Clin. 2023 Mar;41(1):103-119. doi: 10.1016/j.anclin.2022.10.002.

Authors

Aalok K Kacha¹, Megan Henley Hicks², Christopher Mahrous³, Allison Dalton⁴, Talia K Ben-Jacob⁵

Affiliations

¹ Department of Anesthesia and Critical Care, Section of Critical Care Medicine, University of Chicago, 5841 South Maryland Avenue, MC 4028, Chicago, IL 60637, USA; Department of Surgery, Section of Transplant Surgery, University of Chicago, 5841 South Maryland Avenue, MC 4028, Chicago, IL 60637, USA. Electronic address: akacha@bsd.uchicago.edu.
² Department of Anesthesiology, Wake Forest University School of Medicine, Atrium Health Wake Forest Baptist Medical Center, 1 Medical Center Boulevard, Winston-Salem, NC 27157, USA.
³ Department of Anesthesiology, Cooper Medical School of Rowan University, One Cooper Plaza, Dorrance 2nd Floor, Camden, NJ 08103, USA.
⁴ Department of Anesthesia and Critical Care, Section of Critical Care Medicine, University of Chicago, 5841 South Maryland Avenue, MC 4028, Chicago, IL 60637, USA.
⁵ Department of Anesthesiology, Division of Critical Care, Cooper Medical School of Rowan University, One Cooper Plaza, Dorrance 2nd Floor, Camden, NJ 08103, USA.

PMID: 36871994
DOI: 10.1016/j.anclin.2022.10.002

Abstract

Perioperative arrests are both uncommon and heterogeneous and have not been described or studied to the same extent as cardiac arrest in the community. These crises are usually witnessed, frequently anticipated, and involve a rescuer physician with knowledge of the patient's comorbidities and coexisting anesthetic or surgically related pathophysiology ultimately leading to better outcomes. This article reviews the most probable causes of intraoperative arrest and their management.

Keywords: Advanced cardiac life support; Hemodynamic and respiratory compromise; Perioperative cardiac arrest; Resuscitation.

Publication types

Review

MeSH terms

Heart Arrest*
Humans
Physicians*