Crisis checklist (Code Red) for the management of cardiac arrest during minimally invasive thoracic surgery: case report

Journal of Cardiothoracic Surgery
Philippe RinieriJean-Marc Baste

Abstract

The management of cardiac arrest during video assisted thoracic surgery is challenging. Checklist use improve the management of operating-room crises. Cardiac arrest (asystole) occurred during anatomical pulmonary resection by minimally invasive surgery. Conversion to thoracotomy was decided (thoracic surgeon and anesthesiologist conjointly) to check for absence of cardiac bleeding and to start cardiac massage (4 min no-flow). After few minutes, ventricular fibrillation occurred and persisted despite shocks. Extracorporeal life support with veno-arterial extracorporeal membrane oxygenation allowed a return of spontaneous circulation (45 min low-flow). The patient survived without central neurologic deficit due to perfect team work process using a crisis check-list (strengthened by a comprehensive simulation program with crisis resource management).

References

Jan 18, 2013·The New England Journal of Medicine·Alexander F ArriagaAtul A Gawande
Sep 20, 2015·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Herbert DecaluweUNKNOWN ESTS Minimally Invasive Thoracic Surgery Interest Group (MITIG)
Oct 20, 2015·Resuscitation·Jasmeet SoarUNKNOWN Adult advanced life support section Collaborators
Mar 3, 2018·The Annals of Thoracic Surgery·Joel BiererRichard Malthaner

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Code Red

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