{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,26]],"date-time":"2026-10-26T03:22:57Z","timestamp":1792984977617,"version":"4.5.0"},"reference-count":141,"publisher":"Oxford University Press (OUP)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2009,7,1]]},"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:p>The Clinical Guidelines Committee of the European Association for Cardio-Thoracic Surgery provides this professional view on resuscitation in cardiac arrest after cardiac surgery. This document was created using a multimodal methodology for evidence generation including the extrapolation of existing guidelines from the International Liaison Committee on Resuscitation where possible, our own structured literature reviews on issues particular to cardiac surgery, an international survey on resuscitation hosted by CTSNet and manikin simulations of potential protocols. This protocol differs from existing generic guidelines in a number of areas, the most import of which are the following: successful treatment of cardiac arrest after cardiac surgery is a multi-practitioner activity with six key roles that should be allocated and rehearsed on a regular basis; in ventricular fibrillation, three sequential attempts at defibrillation (where immediately available) should precede external cardiac massage; in asystole or extreme bradycardia, pacing (where immediately available) should precede external cardiac massage; where the above measures fail, and in pulseless electrical activity, early resternotomy is advocated; adrenaline should not be routinely given; protocols for excluding reversible airway and breathing complications and for safe emergency resternotomy are given. This guideline is subject to continuous informal review, and when new evidence becomes available.<\/jats:p>","DOI":"10.1016\/j.ejcts.2009.01.033","type":"journal-article","created":{"date-parts":[[2009,3,18]],"date-time":"2009-03-18T06:09:17Z","timestamp":1237356557000},"page":"3-28","source":"Crossref","is-referenced-by-count":159,"title":["Guideline for resuscitation in cardiac arrest after cardiac surgery"],"prefix":"10.1093","volume":"36","author":[{"given":"Joel","family":"Dunning","sequence":"first","affiliation":[{"name":"aDepartment of Cardiothoracic Surgery, James Cook University Hospital, Middlesbrough, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandro","family":"Fabbri","sequence":"additional","affiliation":[{"name":"bDepartment of Cardiac Surgery, Vicenza Hospital, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philippe H.","family":"Kolh","sequence":"additional","affiliation":[{"name":"cDepartment of Cardiothoracic Surgery, University Hospital of Li\u00e8ge, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adrian","family":"Levine","sequence":"additional","affiliation":[{"name":"dDepartment of Cardiothoracic Surgery, North Staffordshire Hospital, Stoke-on-trent, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ulf","family":"Lockowandt","sequence":"additional","affiliation":[{"name":"eDepartment of Cardiothoracic Surgery, Karolinska University Hospital, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"Mackay","sequence":"additional","affiliation":[{"name":"fDepartment of Cardiothoracic Anaesthesia, Papworth Hospital, Cambridge, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alain J.","family":"Pavie","sequence":"additional","affiliation":[{"name":"gInstitut de Cardiologie, La Piti\u00e9 Hospital, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tim","family":"Strang","sequence":"additional","affiliation":[{"name":"hDepartment of Cardiothoracic Anaesthesia, Wythenshawe Hospital, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael I.M.","family":"Versteegh","sequence":"additional","affiliation":[{"name":"iDepartment of Cardiothoracic Surgery, Leiden University Medical Center, Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samer A.M.","family":"Nashef","sequence":"additional","affiliation":[{"name":"jDepartment of Cardiothoracic Surgery, Papworth Hospital, Cambridge, CB3 8RE, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2009,7,1]]},"reference":[{"issue":"Suppl. 1","key":"2025110203371797400_bib1","doi-asserted-by":"crossref","first-page":"S3","DOI":"10.1016\/j.resuscitation.2005.10.002","article-title":"European Resuscitation Council guidelines for resuscitation 2005. 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