Improving the outcome of in-hospital cardiac arrest: The importance of being earnest

Sara Dichtwald, Idit Matot, Sharon Einav

Research output: Contribution to journalReview articlepeer-review

Abstract

Cardiopulmonary resuscitation techniques were introduced more than 50 years ago, yet the rate of survival from cardiac arrest, particularly in the hospital setting, remains dismally low. This article reviews the prevalence, etiology, and outcome of in-hospital cardiac arrest, with a focus on the determinants of outcome that are amenable to improvement. These include principally components of basic life support that may be supported by either prompting or mechanical assistance (eg, chest compression, ventilation, and defibrillation). Also reviewed are preevent and postevent effectors such as medical staff skills and recognition of impending arrest, induction of mild hypothermia, and stabilization after return of spontaneous circulation.

Original languageEnglish
Pages (from-to)19-30
Number of pages12
JournalSeminars in Cardiothoracic and Vascular Anesthesia
Volume13
Issue number1
DOIs
StatePublished - Mar 2009

Keywords

  • Cardiopulmonary resuscitation
  • In-hospital cardiac arrest
  • Outcome
  • Survival

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