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Crit Care Nurs Clin North Am · Sep 2019
ReviewCardiac Surgical Resuscitation: State of the Science.
- S Jill Ley.
- Surgical & Interval Services, California Pacific Medical Center, 1101 Van Ness Avenue #4403, San Francisco, CA 94109, USA. Electronic address: leyj@sutterhealth.org.
- Crit Care Nurs Clin North Am. 2019 Sep 1; 31 (3): 437-452.
AbstractCardiac surgical patients risk arrest from tamponade, profound bleeding, and hypovolemia, typically occurring within hours of intensive care admission and associated with diminished response to cardiopulmonary resuscitation (CPR). The Society of Thoracic Surgeons' evidence-based Expert Consensus Statement establishes a new standard for postsurgery arrest management, prioritizing defibrillation or pacing before CPR, restricting epinephrine use, and calling for prompt resternotomy if initial efforts fail. The protocol is summarized in a simple algorithm replacing advanced cardiac life support. This US cardiac surgical resuscitation standard is aligned with worldwide guidelines. Important information for protocol adoption and training is provided.Copyright © 2019 Elsevier Inc. All rights reserved.
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