Envision Healthcare’s Chief Quality Officer, Gerald Maccioli, M.D., MBA, FCCM, FASA, co-authored a recently published study on cardiac arrest in the operating room. The article, appearing in two parts in Anesthesia & Analgesia, provides guidance for anesthesiologists treating the complex causes and crises of perioperative cardiac arrest.
 
The first part of the study discusses management of special anesthesia-related and periprocedural crises. The study reveals that cardiac arrest in the periprocedural setting is rarer than previously believed, and it arises from unique causes specific to the operating room or procedural environment.
 
The second part of the study summarizes the causes and outcomes of periprocedural cardiac arrest (PPCA) and provides recommendations for resuscitation and management. This review is focused on eight special circumstances in the perioperative period that, while uncommon, are essential for all practicing anesthesiologists to know. Each scenario is presented with a brief review of pathophysiology and epidemiology followed by recommendations on proper assessment, initial management and subsequent management of each perioperative crisis.

 

View or purchase the articles via the links below.


Cardiac Arrest in the Operating Room: Resuscitation and Management for the Anesthesiologist: Part 1

Cardiac Arrest in the Operating Room: Part 2 — Special Situations in the Perioperative Period