{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,6]],"date-time":"2026-09-06T10:34:19Z","timestamp":1788690859004,"version":"build-2803163510"},"reference-count":41,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2024,5,10]],"date-time":"2024-05-10T00:00:00Z","timestamp":1715299200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001297","name":"Royal College of Anaesthetists","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001297","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["associationofanaesthetists-publications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Anaesthesia"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Few existing resuscitation guidelines include specific reference to intra\u2010operative cardiac arrest, but its optimal treatment is likely to require some adaptation of standard protocols.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We analysed data from the 7th National Audit Project of the Royal College of Anaesthetists to determine the incidence and outcome from intra\u2010operative cardiac arrest and to summarise the advanced life support interventions reported as being used by anaesthetists.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In the baseline survey, &gt;\u200950% of anaesthetists responded that they would start chest compressions when the non\u2010invasive systolic pressure was &lt;\u200940\u201350\u2009mmHg. Of the 881 registry patients, 548 were adult patients (aged &gt;\u200918\u2009years) having non\u2010obstetric procedures under the care of an anaesthetist, and who had arrested during anaesthesia (from induction to emergence). Sustained return of spontaneous circulation was achieved in 425 (78%) patients and 338 (62%) were alive at the time of reporting. In the 365 patients with pulseless electrical activity or bradycardia, adrenaline was given as a 1\u2009mg bolus in 237 (65%). A precordial thump was used in 14 (3%) patients, and although this was associated with return of spontaneous circulation at the next rhythm check in almost three\u2010quarters of patients, in only one of these was the initial rhythm shockable. Calcium (gluconate or chloride) and 8.4% sodium bicarbonate were given to 51 (9%) and 25 (5%) patients, but there were specific indications for these treatments in less than half of the patients. A thrombolytic drug was given to 5 (1%) patients, and extracorporeal cardiopulmonary resuscitation was used in 9 (2%) of which eight occurred during cardiac procedures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The specific characteristics of intra\u2010operative cardiac arrest imply that its optimal treatment requires modifications to standard advanced life support guidelines.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/anae.16310","type":"journal-article","created":{"date-parts":[[2024,5,11]],"date-time":"2024-05-11T00:55:05Z","timestamp":1715388905000},"page":"914-923","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Advanced life support interventions during intra\u2010operative cardiac arrest among adults as reported to the 7th National Audit Project of the Royal College of Anaesthetists"],"prefix":"10.1111","volume":"79","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3141-3812","authenticated-orcid":false,"given":"Jerry P.","family":"Nolan","sequence":"first","affiliation":[{"name":"Department of Resuscitation Medicine, Warwick Clinical Trials Unit University of Warwick  Warwick UK"},{"name":"Department of Anaesthesia and Intensive Care Medicine Royal United Hospitals Bath NHS Foundation Trust  Combe Park Bath BA1 3NG UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9479-0143","authenticated-orcid":false,"given":"Richard A.","family":"Armstrong","sequence":"additional","affiliation":[{"name":"Health Services Research Centre Royal College of Anaesthetists  London UK"},{"name":"Department of Anaesthesia Severn Deanery  Bristol UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9488-4086","authenticated-orcid":false,"given":"Andrew 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Bath NHS Foundation Trust  Combe Park Bath BA1 3NG United\u00a0Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3750-6067","authenticated-orcid":false,"given":"Iain K.","family":"Moppett","sequence":"additional","affiliation":[{"name":"Health Services Research Centre Royal College of Anaesthetists  London UK"},{"name":"Department of Critical Care and Anaesthesia North West Anglia NHS Trust  UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3654-497X","authenticated-orcid":false,"given":"Tim M.","family":"Cook","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Intensive Care Medicine Royal United Hospitals Bath NHS Foundation Trust  Combe Park Bath BA1 3NG UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5970-6073","authenticated-orcid":false,"given":"Jasmeet","family":"Soar","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Peri\u2010operative Medicine University of Nottingham  Nottingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"NAP7 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