Delayed Time to Defibrillation after Intraoperative and Periprocedural Cardiac Arrest

Delay in defibrillation (more than 2 min) is associated with worse survival in patients with a cardiac arrest because of ventricular fibrillation or pulseless ventricular tachycardia in intensive care units and inpatient wards. We tested the relationship between delayed defibrillation and survival f...

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Bibliographic Details
Published in:Anesthesiology (Philadelphia) 2010-10, Vol.113 (4), p.782-793
Main Authors: MHYRE, Jill M, SATYA KRISHNA RAMACHANDRAN, KHETERPAL, Sachin, MORRIS, Michelle, CHAN, Paul S
Format: Article
Language:English
Subjects:
Aged
Anesthesia
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Blood Loss, Surgical
Cardiopulmonary Resuscitation
Cohort Studies
Critical Care
Databases, Factual
Electric Countershock
Electrocardiography
Female
Heart Arrest - epidemiology
Heart Arrest - etiology
Heart Arrest - therapy
Humans
Intraoperative Complications - therapy
Logistic Models
Male
Medical sciences
Middle Aged
Monitoring, Intraoperative
Organizational Policy
Perioperative Care
Postoperative Complications - etiology
Postoperative Complications - therapy
Survival Analysis
Tachycardia, Ventricular - etiology
Tachycardia, Ventricular - therapy
Time Factors
Treatment Outcome
Ventricular Fibrillation - etiology
Ventricular Fibrillation - therapy
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Description
Summary:Delay in defibrillation (more than 2 min) is associated with worse survival in patients with a cardiac arrest because of ventricular fibrillation or pulseless ventricular tachycardia in intensive care units and inpatient wards. We tested the relationship between delayed defibrillation and survival from intraoperative or periprocedural cardiac arrest, adjusting for baseline patient characteristics. The analysis was based on data from 865 patients who had intraoperative or periprocedural cardiac arrest caused by ventricular fibrillation or pulseless ventricular tachycardia in 259 hospitals participating in the National Registry of Cardiopulmonary Resuscitation. The median time to defibrillation was less than 1 min (interquartile range,
ISSN:0003-3022
1528-1175
DOI:10.1097/ALN.0b013e3181eaa74f