Malignant Arrhythmia and Cardiac Arrest in the Operating Room
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Abstract
Malignant arrhythmias and cardiac arrest in the operating room are critical events that pose significant risks to patient safety and outcomes. This research paper aims to provide a comprehensive review of the current literature on the incidence, risk factors, and management of malignant arrhythmias and cardiac arrest in the operating room. The paper will also explore the potential role of advanced monitoring and early detection systems in improving the timely recognition and management of these life-threatening events. Additionally, the paper will discuss malignant arrhythmia and cardiac arrest in the operating room thoroughly as definitions. Ultimately, the findings of this research paper will contribute to a better understanding of the challenges and opportunities in addressing malignant arrhythmias and cardiac arrest in the operating room, with the goal of improving patient safety and outcomes.
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References
Roland, J. (2023, June 14). What to Know About Malignant Arrhythmias. Healthline. https://www.healthline.com/health/arrhythmia/malignant-arrhythmia#about
Varney, J. A., Dong, V. S., Tsao, T., Sabir, M. S., Rivera, A. T., Ghula, S., Moriles, K. E., Cherukuri, M. L., Fazal, R., Azevedo, C. B., Mohamed, R. M., Jackson, G. R., Fleming, S. E., Rochez, D. E., Abbas, K. S., Shah, J. H., Minh, L. H. N., Osman, F., Rafla, S. M., & Huy, N. T. (2022). COVID-19 and arrhythmia: An overview. Journal of cardiology, 79(4), 468–475. https://doi.org/10.1016/j.jjcc.2021.11.019
Panchal, A. R., Bartos, J. A., Cabañas, J. G., Donnino, M. W., Drennan, I. R., Hirsch, K. G., Kudenchuk, P. J., Kurz, M. C., Lavonas, E. J., Morley, P. T., O'Neil, B. J., Peberdy, M. A., Rittenberger, J. C., Rodriguez, A. J., Sawyer, K. N., Berg, K. M., & Adult Basic and Advanced Life Support Writing Group (2020). Part 3: Adult Basic and Advanced Life Support: 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation, 142(16_suppl_2), S366–S468. https://doi.org/10.1161/CIR.0000000000000916
Sadiq I. Z. (2023). Lifestyle medicine as a modality for prevention and management of chronic diseases. Journal of Taibah University Medical Sciences, 18(5), 1115–1117. https://doi.org/10.1016/j.jtumed.2023.04.001
Aroesty, J. M., & Kannam, J. P. (2017). Patient education: Recovery after coronary artery bypass graft surgery (CABG)(Beyond the Basics).
Kwon, C. H., & Kim, S. H. (2017). Intraoperative management of critical arrhythmia. Korean journal of anesthesiology, 70(2), 120–126. https://doi.org/10.4097/kjae.2017.70.2.120
Zambouri A. (2007). Preoperative evaluation and preparation for anesthesia and surgery. Hippokratia, 11(1), 13–21.
Chung, F., Memtsoudis, S. G., Ramachandran, S. K., Nagappa, M., Opperer, M., Cozowicz, C., Patrawala, S., Lam, D., Kumar, A., Joshi, G. P., Fleetham, J., Ayas, N., Collop, N., Doufas, A. G., Eikermann, M., Englesakis, M., Gali, B., Gay, P., Hernandez, A. V., Kaw, R., … Auckley, D. (2016). Society of Anesthesia and Sleep Medicine Guidelines on Preoperative Screening and Assessment of Adult Patients With Obstructive Sleep Apnea. Anesthesia and analgesia, 123(2), 452–473. https://doi.org/10.1213/ANE.0000000000001416
Mandala, S., & Di, T. C. (2017). ECG Parameters for Malignant Ventricular Arrhythmias: A Comprehensive Review. Journal of medical and biological engineering, 37(4), 441–453. https://doi.org/10.1007/s40846-017-0281-x
Foth, C., Gangwani, M. K., & Alvey, H. (2018). Ventricular Tachycardia.
Kornej, J., Börschel, C. S., Benjamin, E. J., & Schnabel, R. B. (2020). Epidemiology of Atrial Fibrillation in the 21st Century: Novel Methods and New Insights. Circulation research, 127(1), 4–20. https://doi.org/10.1161/CIRCRESAHA.120.316340
Sirichand, S., Killu, A. M., Padmanabhan, D., Hodge, D. O., Chamberlain, A. M., Brady, P. A., Kapa, S., Noseworthy, P. A., Packer, D. L., Munger, T. M., Gersh, B. J., McLeod, C. J., Shen, W. K., Cha, Y. M., Asirvatham, S. J., Friedman, P. A., & Mulpuru, S. K. (2017). Incidence of Idiopathic Ventricular Arrhythmias: A Population-Based Study. Circulation. Arrhythmia and electrophysiology, 10(2), e004662. https://doi.org/10.1161/CIRCEP.116.004662
Ludhwani, D., Goyal, A., & Jagtap, M. (2019). Ventricular Fibrillation.
El-Battrawy, I., Lang, S., Ansari, U., Tülümen, E., Schramm, K., Fastner, C., Zhou, X., Hoffmann, U., Borggrefe, M., & Akin, I. (2018). Prevalence of malignant arrhythmia and sudden cardiac death in takotsubo syndrome and its management. Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology, 20(5), 843–850. https://doi.org/10.1093/europace/eux073
Sharabi, A. F., & Singh, A. (2020). Cardiopulmonary Arrest In Adults. StatPearls.
Link, M. S., Atkins, D. L., Passman, R. S., Halperin, H. R., Samson, R. A., White, R. D., Cudnik, M. T., Berg, M. D., Kudenchuk, P. J., & Kerber, R. E. (2010). Part 6: electrical therapies: automated external defibrillators, defibrillation, cardioversion, and pacing: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation, 122(18 Suppl 3), S706–S719. https://doi.org/10.1161/CIRCULATIONAHA.110.970954
Kopp, S. L., Horlocker, T. T., Warner, M. E., Hebl, J. R., Vachon, C. A., Schroeder, D. R., ... & Sprung, J. (2005). Cardiac arrest during neuraxial anesthesia: frequency and predisposing factors associated with survival. Anesthesia & Analgesia, 100(3), 855-865.
Cheney, F. W., Posner, K. L., Lee, L. A., Caplan, R. A., & Domino, K. B. (2006). Trends in anesthesia-related death and brain damage: a closed claims analysis. The Journal of the American Society of Anesthesiologists, 105(6), 1081-1086.
Braz, L. G., Modolo, N. S. P., do Nascimento Jr, P., Bruschi, B. A. M., Castiglia, Y. M. M., Ganem, E. M., ... & Braz, J. R. C. (2006). Perioperative cardiac arrest: a study of 53 718 anaesthetics over 9 yr from a Brazilian teaching hospital. BJA: British Journal of Anaesthesia, 96(5), 569-575.
Girotra, S., Nallamothu, B. K., Spertus, J. A., Li, Y., Krumholz, H. M., & Chan, P. S. (2012). Trends in survival after in-hospital cardiac arrest. New England Journal of Medicine, 367(20), 1912-1920.
Goldberger, Z. D., Chan, P. S., Berg, R. A., Kronick, S. L., Cooke, C. R., Lu, M., ... & Nallamothu, B. K. (2012). Duration of resuscitation efforts and survival after in-hospital cardiac arrest: an observational study. The Lancet, 380(9852), 1473-1481.
Ramachandran, S. K., Mhyre, J., Kheterpal, S., Christensen, R. E., Tallman, K., Morris, M., ... & American Heart Association’s Get With The Guidelines-Resuscitation Investigators. (2013). Predictors of survival from perioperative cardiopulmonary arrests: a retrospective analysis of 2,524 events from the Get With The Guidelines-Resuscitation registry. Anesthesiology, 119(6), 1322-1339.
Kazaure, H. S., Roman, S. A., Rosenthal, R. A., & Sosa, J. A. (2013). Cardiac arrest among surgical patients: an analysis of incidence, patient characteristics, and outcomes in ACS-NSQIP. JAMA surgery, 148(1), 14-21.
Peberdy, M. A., Ornato, J. P., Larkin, G. L., Braithwaite, R. S., Kashner, T. M., Carey, S. M., ... & National Registry of Cardiopulmonary Resuscitation Investigators. (2008). Survival from in-hospital cardiac arrest during nights and weekends. Jama, 299(7), 785-792.
Chan, P. S., Krumholz, H. M., Nichol, G., Nallamothu, B. K., & American Heart Association National Registry of Cardiopulmonary Resuscitation Investigators. (2008). Delayed time to defibrillation after in-hospital cardiac arrest. New England Journal of Medicine, 358(1), 9-17.
Li, G., Warner, M., Lang, B. H., Huang, L., & Sun, L. S. (2009, April). Epidemiology of anesthesia-related mortality in the United States, 1999–2005. In The Journal of the American Society of Anesthesiologists (Vol. 110, No. 4, pp. 759-765). The American Society of Anesthesiologists.
Nunnally, M. E., O’Connor, M. F., Kordylewski, H., Westlake, B., & Dutton, R. P. (2015). The incidence and risk factors for perioperative cardiac arrest observed in the national anesthesia clinical outcomes registry. Anesthesia & Analgesia, 120(2), 364-370.
Peberdy, M. A., Kaye, W., Ornato, J. P., Larkin, G. L., Nadkarni, V., Mancini, M. E., ... & NRCPR Investigators. (2003). Cardiopulmonary resuscitation of adults in the hospital: a report of 14 720 cardiac arrests from the National Registry of Cardiopulmonary Resuscitation. Resuscitation, 58(3), 297-308.
Moitra, V. K., Einav, S., Thies, K. C., Nunnally, M. E., Gabrielli, A., Maccioli, G. A., Weinberg, G., Banerjee, A., Ruetzler, K., Dobson, G., McEvoy, M. D., & O'Connor, M. F. (2018). Cardiac Arrest in the Operating Room: Resuscitation and Management for the Anesthesiologist: Part 1. Anesthesia and analgesia, 126(3), 876–888. https://doi.org/10.1213/ANE.0000000000002596
Horvath, B. (n.d.). Malignant Arrhythmia and Cardiac Arrest in the Operating Room: Practice Essentials, Problem, Management. https://emedicine.medscape.com/article/2500081-overview#a2
Pappone, C., Vicedomini, G., Manguso, F., Baldi, M., Pappone, A., Petretta, A., Vitale, R., Saviano, M., Ciaccio, C., Giannelli, L., Calovic, Z., Tavazzi, L., & Santinelli, V. (2012). Risk of malignant arrhythmias in initially symptomatic patients with Wolff-Parkinson-White syndrome: results of a prospective long-term electrophysiological follow-up study. Circulation, 125(5), 661–668. https://doi.org/10.1161/CIRCULATIONAHA.111.065722
Di Diego, J. M., & Antzelevitch, C. (2018). J wave syndromes as a cause of malignant cardiac arrhythmias. Pacing and clinical electrophysiology : PACE, 41(7), 684–699. https://doi.org/10.1111/pace.13408
Junttila, M. J., Gonzalez, M., Lizotte, E., Benito, B., Vernooy, K., Sarkozy, A., Huikuri, H. V., Brugada, P., Brugada, J., & Brugada, R. (2008). Induced Brugada-type electrocardiogram, a sign for imminent malignant arrhythmias. Circulation, 117(14), 1890–1893. https://doi.org/10.1161/CIRCULATIONAHA.107.746495
Kloesel, B., Ackerman, M. J., Sprung, J., Narr, B. J., & Weingarten, T. N. (2011). Anesthetic management of patients with Brugada syndrome: a case series and literature review. Canadian journal of anaesthesia = Journal canadien d'anesthesie, 58(9), 824–836. https://doi.org/10.1007/s12630-011-9546-y
Link, M. S., Berkow, L. C., Kudenchuk, P. J., Halperin, H. R., Hess, E. P., Moitra, V. K., Neumar, R. W., O'Neil, B. J., Paxton, J. H., Silvers, S. M., White, R. D., Yannopoulos, D., & Donnino, M. W. (2015). Part 7: Adult Advanced Cardiovascular Life Support: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation, 132(18 Suppl 2), S444–S464. https://doi.org/10.1161/CIR.0000000000000261
de Caen, A. R., Berg, M. D., Chameides, L., Gooden, C. K., Hickey, R. W., Scott, H. F., Sutton, R. M., Tijssen, J. A., Topjian, A., van der Jagt, É. W., Schexnayder, S. M., & Samson, R. A. (2015). Part 12: Pediatric Advanced Life Support: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation, 132(18 Suppl 2), S526–S542. https://doi.org/10.1161/CIR.0000000000000266
Soar, J., Donnino, M. W., Maconochie, I., Aickin, R., Atkins, D. L., Andersen, L. W., Berg, K. M., Bingham, R., Böttiger, B. W., Callaway, C. W., Couper, K., Couto, T. B., de Caen, A. R., Deakin, C. D., Drennan, I. R., Guerguerian, A. M., Lavonas, E. J., Meaney, P. A., Nadkarni, V. M., Neumar, R. W., … ILCOR Collaborators (2018). 2018 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations Summary. Resuscitation, 133, 194–206. https://doi.org/10.1016/j.resuscitation.2018.10.017
Berg, K. M., Soar, J., Andersen, L. W., Böttiger, B. W., Cacciola, S., Callaway, C. W., Couper, K., Cronberg, T., D'Arrigo, S., Deakin, C. D., Donnino, M. W., Drennan, I. R., Granfeldt, A., Hoedemaekers, C. W. E., Holmberg, M. J., Hsu, C. H., Kamps, M., Musiol, S., Nation, K. J., Neumar, R. W., … Adult Advanced Life Support Collaborators (2020). Adult Advanced Life Support: 2020 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations. Circulation, 142(16_suppl_1), S92–S139. https://doi.org/10.1161/CIR.0000000000000893
Maconochie, I. K., Aickin, R., Hazinski, M. F., Atkins, D. L., Bingham, R., Couto, T. B., Guerguerian, A. M., Nadkarni, V. M., Ng, K. C., Nuthall, G. A., Ong, G. Y. K., Reis, A. G., Schexnayder, S. M., Scholefield, B. R., Tijssen, J. A., Nolan, J. P., Morley, P. T., Van de Voorde, P., Zaritsky, A. L., de Caen, A. R., … Pediatric Life Support Collaborators (2020). Pediatric Life Support: 2020 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations. Circulation, 142(16_suppl_1), S140–S184. https://doi.org/10.1161/CIR.0000000000000894
Rogers, W. K. and Schroeder, K. M. (2012). Perioperative atrial fibrillation and epidural anesthesia: case report and review of the literature. Journal of Clinical Anesthesia, 24(4), 329-333. https://doi.org/10.1016/j.jclinane.2011.10.013
Chamberlain, D. and Hazinski, M. F. (2003). Education in resuscitation. Circulation, 108(20), 2575-2594. https://doi.org/10.1161/01.cir.0000099898.11954.3b
Boulos, P. K., Freeman, S., Henry, T. D., Mahmud, E., & Messenger, J. C. (2023). Interaction of covid-19 with common cardiovascular disorders. Circulation Research, 132(10), 1259-1271. https://doi.org/10.1161/circresaha.122.321952