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- W4387148901 abstract "Abstract Cardiac arrest in the perioperative setting is caused by multiple etiologies and pathologies that are different from the non-perioperative setting. Cardiac arrest in the operating room is unique in that it is witnessed by providers who are familiar with the patient’s comorbidities, the event is usually preceded by hemodynamic instability, and the underlying etiology can be rapidly identified. Early identification of patients in crisis can prevent further progression to cardiac arrest and preclude the initiation of advanced cardiac life support. In turn, this directly affects prognosis by allowing the anesthesiology team to provide focused, etiology-based resuscitative efforts and early mobilization of advanced levels of care. Causes of cardiac arrest in the perioperative setting are quite different compared to out-of-hospital or in-hospital arrest. Cardiac causes can be related to anesthetic sympatholytic effects, vagotonic effects of surgical manipulation, severe hypovolemia in bleeding patients, or blockade of cardiac accelerator fibers associated with neuraxial anesthesia. Respiratory causes of cardiac arrest can be related to hypoxia that is associated with difficult airway management or bronchospasm. As a result, management of cardiac arrest in the perioperative setting should focus on certain differentials related to the anesthetic and surgical causes of arrest. This chapter will focus on the common causes of pulseless electrical activity (PEA)/asystole in the perioperative period and will provide the anesthesiology team with a step-by-step guide to help predict, prevent, and manage PEA/asystole in these patients." @default.
- W4387148901 created "2023-09-29" @default.
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- W4387148901 date "2023-10-01" @default.
- W4387148901 modified "2023-10-11" @default.
- W4387148901 title "Pulseless Electrical Activity (PEA) and Asystole" @default.
- W4387148901 doi "https://doi.org/10.1093/med/9780190902247.003.0011" @default.
- W4387148901 hasPublicationYear "2023" @default.
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