Part 3: Ethics

Cardiac arrest in the operating room requiring prolonged resuscitation

“…8 Neither ACLS nor European Resuscitation Council (ERC) guidelines commit to a maximum duration of CPR before considering continued resuscitation futile, and both seem to conclude that rules for clinical decision-making cannot be recommended due to lack of prospective validation. 9,10 Other guidelines suggest that patient context, setting of cardiac arrest, and promptness and quality of resuscitation are the most important factors to consider. 11 After reviewing the literature, we are of the opinion that an appropriate duration of CPR is difficult to define, and the definition depends entirely on the context of patient presentation.…”

“…• Transient ROSC at any point of CPR 9,10 Predictors of poor outcome at the start of CPR: (failure and/or major organ failure or death)…”

Kurzdarstellung

“…Bestehende evidenzbasierte Leitlinien unterstützen professionelle Helfer bei der Entscheidung, welche Therapieansätze am zweckdienlichsten sind [11,974,975].…”

Contemporary evidence-based practice in Canadian emergency medical services: a vision for integrating evidence into clinical and policy decision-making

“…27 Methodology for conducting evidence reviews is continuously becoming more streamlined and timely. One of the leading approaches for the development of evidence-based guidelines is the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) methodology, which has been used in several projects, including the U.S. National Evidence-Based Guidelines Project, 24 the ILCOR evidence review process, 28 and the development of the Surviving Sepsis International Guidelines. 29 The AGREE II tool is a robust methodological approach for developing evidence-based guidelines.…”