The Cardiac Surgery Advanced Life Support Course (CALS): Delivering Significant Improvements in Emergency Cardiothoracic Care

Dunning, Joel; Nandi, Jay; Ariffin, Sharil Azlan; Jerstice, John; Danitsch, Deborah; Levine, Adrian

doi:10.1016/j.athoracsur.2005.12.012

Cited by 58 publications

(47 citation statements)

References 7 publications

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“…A survey was conducted on CTSnet (www.ctsnet.org) from January to June 2008 on a wide range of issues pertaining to resuscitation of cardiac surgical patients and this was used to guide decision-making by the committee. Finally, a range of cardiac arrest protocols were tested on manikins with personnel from cardiothoracic surgery and ICU teams and these tests were recorded on video, analysed and evaluated for usability and practicality during 17 courses teaching resuscitation in patients after cardiac surgery [20].…”

Section: Methodsmentioning

confidence: 99%

“…Therefore additional staff should immediately prepare for resternotomy as soon as cardiac arrest is confirmed, because 20-50% of cardiac arrests after cardiac surgery result in emergency resternotomy [12,17,18]. The minor potential waste in re-sterilising equipment if not needed is more than compensated for by the benefits gained from early resternotomy [20].…”

Section: Preparation For Emergency Resternotomymentioning

confidence: 99%

“…One reason for delay in emergency resternotomy is the preparation of a standard sternotomy instrument set [20] which may contain over 30 items of equipment, although only 5 items are essential: an all-in-one sterile thoracic drape, a scalpel, a wire cutter, a heavy needle holder, and a single piece sternal retractor. A Jankauer sucker may be useful and can be connected to the bedside suction point.…”

Section: The Emergency Resternotomy Setmentioning

confidence: 99%

“…We have identified six key roles in the cardiac arrest situation after cardiac surgery and evaluated them in manikin simulation [20]. Training should be given in these six key roles.…”

Section: Management Of the Cardiac Arrestmentioning

confidence: 99%

“…Practising protocol-based arrest management has been shown to halve the time to chest reopening and reduce complications in the conduct of the resternotomy after cardiac surgery [20][21][22].…”

Section: Introductionmentioning

confidence: 99%

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Guideline for resuscitation in cardiac arrest after cardiac surgery

Dunning

Fabbri

Kolh³

et al. 2009

European Journal of Cardio-Thoracic Surgery

Self Cite

153

120

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The Clinical Guidelines Committee of the European Association for Cardio-Thoracic Surgery provides this professional view on resuscitation in cardiac arrest after cardiac surgery. This document was created using a multimodal methodology for evidence generation including the extrapolation of existing guidelines from the International Liaison Committee on Resuscitation where possible, our own structured literature reviews on issues particular to cardiac surgery, an international survey on resuscitation hosted by CTSNet and manikin simulations of potential protocols. This protocol differs from existing generic guidelines in a number of areas, the most import of which are the following: successful treatment of cardiac arrest after cardiac surgery is a multi-practitioner activity with six key roles that should be allocated and rehearsed on a regular basis; in ventricular fibrillation, three sequential attempts at defibrillation (where immediately available) should precede external cardiac massage; in asystole or extreme bradycardia, pacing (where immediately available) should precede external cardiac massage; where the above measures fail, and in pulseless electrical activity, early resternotomy is advocated; adrenaline should not be routinely given; protocols for excluding reversible airway and breathing complications and for safe emergency resternotomy are given. This guideline is subject to continuous informal review, and when new evidence becomes available.

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Section: Methodsmentioning

confidence: 99%

Section: Preparation For Emergency Resternotomymentioning

confidence: 99%

Section: The Emergency Resternotomy Setmentioning

confidence: 99%

“…We have identified six key roles in the cardiac arrest situation after cardiac surgery and evaluated them in manikin simulation [20]. Training should be given in these six key roles.…”

Section: Management Of the Cardiac Arrestmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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