In-hospital cardiac arrest: the state of the art
Abstract In-hospital cardiac arrest (IHCA) is associated with a high risk of death, but mortality rates are decreasing. The latest epidemiological and outcome data from several cardiac arrest registries are helping to shape our understanding of IHCA. The introduction of rapid response teams has been...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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BMC
2022-12-01
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| Series: | Critical Care |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13054-022-04247-y |
| _version_ | 1811302161003315200 |
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| author | James Penketh Jerry P. Nolan |
| author_facet | James Penketh Jerry P. Nolan |
| author_sort | James Penketh |
| collection | DOAJ |
| description | Abstract In-hospital cardiac arrest (IHCA) is associated with a high risk of death, but mortality rates are decreasing. The latest epidemiological and outcome data from several cardiac arrest registries are helping to shape our understanding of IHCA. The introduction of rapid response teams has been associated with a downward trend in hospital mortality. Technology and access to defibrillators continues to progress. The optimal method of airway management during IHCA remains uncertain, but there is a trend for decreasing use of tracheal intubation and increased use of supraglottic airway devices. The first randomised clinical trial of airway management during IHCA is ongoing in the UK. Retrospective and observational studies have shown that several pre-arrest factors are strongly associated with outcome after IHCA, but the risk of bias in such studies makes prognostication of individual cases potentially unreliable. Shared decision making and advanced care planning will increase application of appropriate DNACPR decisions and decrease rates of resuscitation attempts following IHCA. |
| first_indexed | 2024-04-13T07:23:05Z |
| format | Article |
| id | doaj.art-fee6e07bc28846718e759b193d2d29b4 |
| institution | Directory Open Access Journal |
| issn | 1364-8535 |
| language | English |
| last_indexed | 2024-04-13T07:23:05Z |
| publishDate | 2022-12-01 |
| publisher | BMC |
| record_format | Article |
| series | Critical Care |
| spelling | doaj.art-fee6e07bc28846718e759b193d2d29b42022-12-22T02:56:33ZengBMCCritical Care1364-85352022-12-012611810.1186/s13054-022-04247-yIn-hospital cardiac arrest: the state of the artJames Penketh0Jerry P. Nolan1Intensive Care Unit, Royal United HospitalIntensive Care Unit, Royal United HospitalAbstract In-hospital cardiac arrest (IHCA) is associated with a high risk of death, but mortality rates are decreasing. The latest epidemiological and outcome data from several cardiac arrest registries are helping to shape our understanding of IHCA. The introduction of rapid response teams has been associated with a downward trend in hospital mortality. Technology and access to defibrillators continues to progress. The optimal method of airway management during IHCA remains uncertain, but there is a trend for decreasing use of tracheal intubation and increased use of supraglottic airway devices. The first randomised clinical trial of airway management during IHCA is ongoing in the UK. Retrospective and observational studies have shown that several pre-arrest factors are strongly associated with outcome after IHCA, but the risk of bias in such studies makes prognostication of individual cases potentially unreliable. Shared decision making and advanced care planning will increase application of appropriate DNACPR decisions and decrease rates of resuscitation attempts following IHCA.https://doi.org/10.1186/s13054-022-04247-yResuscitationCardiac arrestTreatmentPrognosticationResponse |
| spellingShingle | James Penketh Jerry P. Nolan In-hospital cardiac arrest: the state of the art Critical Care Resuscitation Cardiac arrest Treatment Prognostication Response |
| title | In-hospital cardiac arrest: the state of the art |
| title_full | In-hospital cardiac arrest: the state of the art |
| title_fullStr | In-hospital cardiac arrest: the state of the art |
| title_full_unstemmed | In-hospital cardiac arrest: the state of the art |
| title_short | In-hospital cardiac arrest: the state of the art |
| title_sort | in hospital cardiac arrest the state of the art |
| topic | Resuscitation Cardiac arrest Treatment Prognostication Response |
| url | https://doi.org/10.1186/s13054-022-04247-y |
| work_keys_str_mv | AT jamespenketh inhospitalcardiacarrestthestateoftheart AT jerrypnolan inhospitalcardiacarrestthestateoftheart |