Post by Dan Fletcher on Sept 2, 2011 20:47:41 GMT -5
The evidence supports that in anesthetized patients with CPA, prompt CPR should be attempted considering that these patients have a better prognosis for survival (47%) and discharge from a hospital than the overall CPR survival rate (4 - 9.6%).
This recommendation seems counterintuitive for the larger goal of improving CPR for animals. I'm just not sure there needs to be an incentive for anesthetic-related arrests vs OHCA or ICU CA. It seems to condemn other subsets. All CPR should be initiated promptly, anesthetic arrests are just a bonus because of their better outcome. Admittedly, this could just be the way in which I have read it.
I think we should consider the use of arrest sheets with doses of common arrest drugs (epi, atropine, vasopressin, naloxone) for all anesthetic patients, with forms filled out prior to initiation of anesthesia.
The way that this statement is worded suggests that you do not need to perform prompt CPR with other (non-anesthetic causes) of arrest. Also, should a comment be made specifically with regards to anesthetic arrests, to have emergency drugs already drawn up ahead of time?