CARDIAC ARREST IN THE EARLY POSTOPERATIVE PERIOD
Journal
Macedonian Journal of Anesthesia
Date Issued
2021-03
Author(s)
Burmuzoska M
Toleska M
Leshi A
Grncharevski M
Abstract
In-hospital cardiac arrest (IHCA) is determined as acute circulatory loss which requires fast
resuscitation with chest compressions and/or defibrillation. Despite that it is a common condition,
little research is done in this area, and many data are extracted from out-hospital cardiac arrest
guidelines and researches. Perioperative cardiac arrest patients are a subclass of surgical patients
who need CPR on the day of surgery.
In this article, through a case report about successful reanimation, the in-hospital and perioperative cardiac arrest characteristics are discussed. A young female patient presented with cardiac
arrest, 30 minutes after arriving in PACU and acute pulmonary embolism was the most suspected
cause of the arrest. She was reanimated for around 30 minutes and she recovered without any
neurological impairment.
Perioperative cardiac arrest must be distinguished from other cardiac arrests and ACLS
guidelines should be targeted according to particular situations. These patients require rapid
evaluation and quick management, because usually there is a potentially reversible cause. As
quickly as the cause is identified, as much the chances of ROSC are bigger
resuscitation with chest compressions and/or defibrillation. Despite that it is a common condition,
little research is done in this area, and many data are extracted from out-hospital cardiac arrest
guidelines and researches. Perioperative cardiac arrest patients are a subclass of surgical patients
who need CPR on the day of surgery.
In this article, through a case report about successful reanimation, the in-hospital and perioperative cardiac arrest characteristics are discussed. A young female patient presented with cardiac
arrest, 30 minutes after arriving in PACU and acute pulmonary embolism was the most suspected
cause of the arrest. She was reanimated for around 30 minutes and she recovered without any
neurological impairment.
Perioperative cardiac arrest must be distinguished from other cardiac arrests and ACLS
guidelines should be targeted according to particular situations. These patients require rapid
evaluation and quick management, because usually there is a potentially reversible cause. As
quickly as the cause is identified, as much the chances of ROSC are bigger
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