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Epinephrine and Vasopressin Use Following Cardiac Arrest After Cardiac Surgery

  • Aymen Benkreira
  • Yoan LamarcheEmail author
Chapter
Part of the Difficult Decisions in Surgery: An Evidence-Based Approach book series (DDSURGERY)

Abstract

This chapter serves the purpose of reviewing cardiac arrest indications for vasoactive pharmacotherapy in the post cardiac surgery setting. More precisely, the evidence surrounding the usage of these two drugs, their side effects and current opinions about their administration. This review was done by integrating major guideline publications and additional expert opinions published after the most recent official guidelines. While literature is scarce and of poor quality to support epinephrine use for cardiac arrest in patients having undergone cardiac surgery, it is still widely considered as a standard of care. This chapter aims at offering the reader a global picture of such literature.

Keywords

Cardiac surgery Cardiothoracic surgery Postoperative care Cardio pulmonary resuscitation CPR Epinephrine Adrenaline Vasopressin Return of spontaneous circulation Side effects Hypertension Mortality Survival Hospital discharge European resuscitation council American heart association 

Abbreviations

ACLS

Adult advanced cardiovascular life support

AHA

American Heart Association

AVR

Aortic valve replacement surgery

CA

Cardiac arrest

CABG

Coronary Aortic Bypass graft surgery

CACS

Cardiac arrest following cardiac surgery

CPP

Coronary perfusion pressure

ERC

European Resuscitation Council

IHCA

In hospital cardiac arrest

OHCA

Out of hospital cardiac arrest

PEA

Pulseless electrical activity

ROSC

Return of spontaneous circulation

VF

Ventricular fibrillation

VT

Ventricular tachycardia

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of SurgeryMontreal Heart InstituteMontréalCanada
  2. 2.Université de MontréalMontrealCanada
  3. 3.Department of Critical Care MedicineHôpital du Sacré-Coeur de MontréalMontréalCanada

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