Epinephrine and Vasopressin Use Following Cardiac Arrest After Cardiac Surgery

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


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.


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 



Adult advanced cardiovascular life support


American Heart Association


Aortic valve replacement surgery


Cardiac arrest


Coronary Aortic Bypass graft surgery


Cardiac arrest following cardiac surgery


Coronary perfusion pressure


European Resuscitation Council


In hospital cardiac arrest


Out of hospital cardiac arrest


Pulseless electrical activity


Return of spontaneous circulation


Ventricular fibrillation


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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