Cardiac Arrest in the Operating Room: Part 2—Special Situations in the Perioperative Period

Matthew D. McEvoy, MD; Karl-Christian Thies, MD, FRCA, FERC, DEAA; Sharon Einav, MD; Kurt Ruetzler, MD; Vivek K. Moitra, MD, FCCM; Mark E. Nunnally, MD, FCCM; Arna Banerjee, MD; Guy Weinberg, MD; Andrea Gabrielli, MD, FCCM; Gerald A. Maccioli, MD, FCCM; Gregory Dobson, MD; Michael F. O'Connor, MD, FCCM


Anesth Analg. 2018;126(3):889-903. 

In This Article


The causes, logistics, and management of periprocedural crises and arrest differ substantially from those taught in the American Heart Association ACLS guidelines. Furthermore, current evidence illustrates the need for educational updates on concerning PPCA among the anesthesiology community, including review of current evidence, use of checklists, and simulation.[11,154–157] The purpose of this review is to present the latest evidence and practical recommendations for managing 7 high-stakes perioperative events that can lead to significant circulatory disturbance and PPCA. These are core topics for all practitioners who care for patients in the periprocedural setting, but they by no means represent an exhaustive list of emergency conditions. It is incumbent upon all anesthesiologists to have a working knowledge of these clinical scenario and understanding of the current therapeutic options to maximize patient outcomes.