The Australasian ANZSCTS/ANZICS guidelines on cardiothoracic advanced life support (CALS-ANZ)

IF 1.4 4区医学 Q3 CRITICAL CARE MEDICINE Critical Care and Resuscitation Pub Date : 2022-09-05 DOI:10.51893/2022.3.SA3

Christian Karcher , Craig Jurisevic , Tim Southwood , David McCormack , Amy Rogers , Adrian Levine , Joel Dunning

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Abstract

Every year, more than 15 000 patients undergo cardiac surgery in Australia and NewZealand. 1 The overall incidence of cardiac arrest after cardiac surgery is between 0.7% and5.2%. 2, 3, 4, 5, 6 Most cardiac arrests occur within 24 hours of surgery, with up to 50% occurring in the first 3 hours following intensive care unit (ICU)admission. 2, 7 Compared with other in-hospital cardiac arrests, survival in this patient population is high (75% v 39%). 2, 8 The reasons for this include the high degree of cardiac monitoring; a high proportion of reversible causes, such as pericardial tamponade or haemorrhage, and the effects of internal cardiacmassage. 9, 10, 11 The application of standard advanced life support protocols in post-surgical cardiothoracic patients may lead to avoidable adverse events, and hence, specific resuscitation protocols have been developed and established in Europe and NorthAmerica. 12

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澳大利亚ANZSCTS/ANZICS心肺高级生命支持指南(CALS-ANZ)

在澳大利亚和新西兰，每年有超过15000名患者接受心脏手术。1心脏手术后心脏骤停的总发生率在0.7%至5.2%之间。2，3，4，5，6大多数心脏骤停发生在手术后24小时内，高达50%发生在重症监护室（ICU）入院后的前3小时。2，7与其他住院心脏骤停患者相比，该患者群体的存活率较高（75%对39%）。2，8造成这种情况的原因包括高度的心脏监测；高比例的可逆原因，如心包填塞或出血，以及内部心脏穿刺的影响。9，10，11标准高级生命支持方案在心胸外科手术后患者中的应用可能会导致可避免的不良事件，因此，欧洲和北美已经制定并建立了特定的复苏方案。12

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来源期刊

Critical Care and Resuscitation CRITICAL CARE MEDICINE-

CiteScore

7.70

自引率

3.40%

发文量

审稿时长

>12 weeks

期刊介绍： ritical Care and Resuscitation (CC&R) is the official scientific journal of the College of Intensive Care Medicine (CICM). The Journal is a quarterly publication (ISSN 1441-2772) with original articles of scientific and clinical interest in the specialities of Critical Care, Intensive Care, Anaesthesia, Emergency Medicine and related disciplines. The Journal is received by all Fellows and trainees, along with an increasing number of subscribers from around the world. The CC&R Journal currently has an impact factor of 3.3, placing it in 8th position in world critical care journals and in first position in the world outside the USA and Europe.