Time for new guidelines to focus specifically on cardiac arrest in the peri‐operative period?

AnaesthesiaEarly View Editorial Time for new guidelines to focus specifically on cardiac arrest in the peri-operative period? Stephanie Harrison, Corresponding Author Stephanie Harrison [email protected] Department of Cardiothoracic Anaesthesia, Critical Care and ECMO, Wythenshawe Hospital, Manchester, UK Correspondence to: Stephanie Harrison Email: [email protected]Search for more papers by this authorAlan D. Ashworth, Alan D. Ashworth Department of Cardiothoracic Anaesthesia, Critical Care and ECMO, Wythenshawe Hospital, Manchester, UKSearch for more papers by this author Stephanie Harrison, Corresponding Author Stephanie Harrison [email protected] Department of Cardiothoracic Anaesthesia, Critical Care and ECMO, Wythenshawe Hospital, Manchester, UK Correspondence to: Stephanie Harrison Email: [email protected]Search for more papers by this authorAlan D. Ashworth, Alan D. Ashworth Department of Cardiothoracic Anaesthesia, Critical Care and ECMO, Wythenshawe Hospital, Manchester, UKSearch for more papers by this author First published: 15 May 2024 https://doi.org/10.1111/anae.16319 Department of Cardiothoracic Anaesthesia, Critical Care and ECMO, Wythenshawe Hospital, Manchester, UK This editorial accompanies an article by Nolan et al., Anaesthesia 2024; 79: 186–92. https://doi.org/10.1111/anae.16179. Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onEmailFacebookTwitterLinkedInRedditWechat References 1Armstrong RA, Soar J, Kane AD, et al. Peri-operative cardiac arrest: epidemiology and clinical features of patients analysed in the 7th National Audit Project of the Royal College of Anaesthetists. Anaesthesia 2024; 79: 18–30. https://doi.org/10.1111/anae.16156. 10.1111/anae.16156 CASPubMedWeb of Science®Google Scholar 2Perella P, Palmer E, Conway R, Wong DJN. A retrospective analysis of case-load and supervision from a large anaesthetic logbook database. Anaesthesia 2019; 74: 1524–1533. 10.1111/anae.14843 CASPubMedWeb of Science®Google Scholar 3Nolan J, Armstrong RA, Kane AD, et al. Advanced life support interventions during intra-operative cardiac arrest among adults as reported to the 7th National Audit Project of the Royal College of Anaesthetists. Anaesthesia 2024; 79: 186–192. https://doi.org/10.1111/anae.16179. 10.1111/anae.16179 CASPubMedGoogle Scholar 4Dodd A, Turner PJ, Soar J, Savic L, representing the UK Perioperative Allergy Network. Emergency treatment of peri-operative anaphylaxis: Resuscitation Council UK algorithm for anaesthetists. Anaesthesia 2024; 79: 535–542. https://doi.org/10.1111/anae.16206. 10.1111/anae.16206 CASPubMedWeb of Science®Google Scholar 5Vallentin MF, Granfeldt A, Meilandt C, et al. Effect of intravenous or intraosseous calcium vs saline on return of spontaneous circulation in adults with out-of-hospital cardiac arrest: a randomized clinical trial. JAMA 2021; 326: 2268–2276. https://doi.org/10.1001/jama.2021.20929. 10.1001/jama.2021.20929 CASPubMedWeb of Science®Google Scholar 6 Resuscitation Council UK. Advanced Life Support Appendix A. Drugs used in the treatment of cardiac arrest. https://lms.resus.org.uk/modules/m65-non-technical-skills/resources/appendix_a.PDF (04/04/2024). Google Scholar 7Lott C, Truhlář A, Alfonzo A, et al. European Resuscitation Council guidelines 2021: cardiac arrest in special circumstances. Resuscitation 2021; 161: 152–219. https://doi.org/10.1016/j.resuscitation.2021.02.011. 10.1016/j.resuscitation.2021.02.011 PubMedWeb of Science®Google Scholar 8 Resuscitation Council UK. 2021 Resuscitation Guidelines. 2021. https://www.resus.org.uk/library/2021-resuscitation-guidelines (accessed 10/04/2024). Google Scholar 9Yannopoulos D, Bartos J, Raveendran G, et al. Advanced reperfusion strategies for patients with out-of-hospital cardiac arrest and refractory ventricular fibrillation (ARREST): a phase 2, single centre, randomised controlled trial. Lancet 2020; 496: 1807–1816. https://doi.org/10.1016/s0140-6736(20)32338-2. 10.1016/S0140-6736(20)32338-2 Google Scholar 10Hsu CH, Meurer WJ, Domeier R, et al. Extracorporeal cardiopulmonary resuscitation for refractory out-of-hospital cardiac arrest (EROCA): results of a randomized feasibility trial of expedited out-of-hospital transport. Ann Emerg Med 2021; 78: 92–101. https://doi.org/10.1016/j.annemergmed.2020.11.011. 10.1016/j.annemergmed.2020.11.011 PubMedWeb of Science®Google Scholar 11Belohlavek J, Smalcova J, Rob D, et al. Effect of intra-arrest transport, extracorporeal cardiopulmonary resuscitation, and immediate invasive assessment and treatment on functional neurologic outcome in refractory out-of-hospital cardiac arrest: a randomized clinical trial. JAMA 2022; 327: 737–747. https://doi.org/10.1001/jama.2022.1025. 10.1001/jama.2022.1025 PubMedWeb of Science®Google Scholar 12 Extracorporeal Life Support Organisation (ELSO) registry. https://www.elso.org/registry.aspx (accessed 14/04/2024). Google Scholar 13Thiagarajan RR, Barbaro RP, Rycus PT, et al. Extracorporeal life support organization registry international report 2016. ASAIO J 2017; 63: 60–67. https://doi.org/10.1097/mat.0000000000000475. 10.1097/MAT.0000000000000475 PubMedWeb of Science®Google Scholar 14Min JJ, Tay CK, Ryu DK, et al. Extracorporeal cardiopulmonary resuscitation in refractory intra-operative cardiac arrest: an observational study of 12-year outcomes in a single tertiary hospital. Anaesthesia 2018; 73: 1515–1523. https://doi.org/10.1111/anae.14412. 10.1111/anae.14412 CASPubMedWeb of Science®Google Scholar 15Charlesworth M, Ashworth A. Peri-operative extracorporeal cardiopulmonary resuscitation. Anaesthesia 2019; 74: 262. https://doi.org/10.1111/anae.14559. 10.1111/anae.14559 CASPubMedWeb of Science®Google Scholar 16Nehme Z, Stub D, Smith K. Early transport for ECMO or on-scene resuscitation for out-of-hospital cardiac arrests? Resuscitation 2021; 160: 37–38. https://doi.org/10.1016/j.resuscitation.2021.01.014. 10.1016/j.resuscitation.2021.01.014 PubMedWeb of Science®Google Scholar 17Stub D, Bernard S, Pellegrino V, et al. Refractory cardiac arrest treated with mechanical CPR, hypothermia, ECMO and early reperfusion (the CHEER trial). Resuscitation 2015; 86: 88–94. https://doi.org/10.1016/j.resuscitation.2014.09.010. 10.1016/j.resuscitation.2014.09.010 PubMedWeb of Science®Google Scholar 18Holmberg MJ, Granfeldt A, Guerguerian AM, et al. Extracorporeal cardiopulmonary resuscitation for cardiac arrest: an updated systematic review. Resuscitation 2023; 182: 109665. https://doi.org/10.1016/j.resuscitation.2022.12.003. 10.1016/j.resuscitation.2022.12.003 PubMedWeb of Science®Google Scholar 19Kursumovic E, Soar J, Nolan JP, et al. Organisation of UK hospitals and anaesthetic departments in the treatment of peri-operative cardiac arrest: an analysis from the 7th National Audit Project (NAP7) local co-ordinator baseline survey. Anaesthesia 2023; 78: 1442–1452. https://doi.org/10.1111/anae.16153. 10.1111/anae.16153 CASPubMedWeb of Science®Google Scholar 20Charlesworth M, Barker JM, Greenhalgh D, Ashworth AD. Perioperative extracorporeal cardiopulmonary resuscitation: the defibrillator of the 21st century? A case report. A&A Pract 2018; 11: 87–89. https://doi.org/10.1213/xaa.0000000000000742. 10.1213/XAA.0000000000000742 PubMedGoogle Scholar Early ViewOnline Version of Record before inclusion in an issue ReferencesRelatedInformation