Clinical practice recommendations on the management of perioperative cardiac arrest: A report from the PERIOPCA Consortium

Standard

Clinical practice recommendations on the management of perioperative cardiac arrest: A report from the PERIOPCA Consortium. / The PERIOPCA Consortium.

In: Critical Care, Vol. 25, No. 1, 265, 29.07.2021, p. 265.

Research output: Contribution to journal › Review article › peer-review

BibTeX

@article{b7ff404f62c04461bbd1d730910a95bc,

title = "Clinical practice recommendations on the management of perioperative cardiac arrest: A report from the PERIOPCA Consortium",

abstract = "Background: Perioperative cardiac arrest is a rare complication with an incidence of around 1 in 1400 cases, but it carries a high burden of mortality reaching up to 70% at 30 days. Despite its specificities, guidelines for treatment of perioperative cardiac arrest are lacking. Gathering the available literature may improve quality of care and outcome of patients. Methods: The PERIOPCA Task Force identified major clinical questions about the management of perioperative cardiac arrest and framed them into the therapy population [P], intervention [I], comparator [C], and outcome [O] (PICO) format. Systematic searches of PubMed, Embase, and the Cochrane Library for articles published until September 2020 were performed. Consensus-based treatment recommendations were created using the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) system. The strength of consensus among the Task Force members about the recommendations was assessed through a modified Delphi consensus process. Results: Twenty-two PICO questions were addressed, and the recommendations were validated in two Delphi rounds. A summary of evidence for each outcome is reported and accompanied by an overall assessment of the evidence to guide healthcare providers. Conclusions: The main limitations of our work lie in the scarcity of good quality evidence on this topic. Still, these recommendations provide a basis for decision making, as well as a guide for future research on perioperative cardiac arrest.",

keywords = "Cardiac arrest, PERIOPCA, Perioperative, Resuscitation",

author = "{The PERIOPCA Consortium} and Athanasios Chalkias and Nicolas Mongardon and Vladimir Boboshko and Vladimir Cerny and Constant, {Anne Laure} and {De Roux}, Quentin and Gabriele Finco and Francesca Fumagalli and Eleana Gkamprela and St{\'e}phane Legriel and Vladimir Lomivorotov and Aurora Magliocca and Panagiotis Makaronis and Ioannis Mamais and Iliana Mani and Theodoros Mavridis and Paolo Mura and Giuseppe Ristagno and Salvatore Sardo and Nikolaos Papagiannakis and Theodoros Xanthos and Athanasios Chalkias and Nicolas Mongardon and Vladimir Boboshko and Vladimir Cerny and Constant, {Anne Laure} and {De Roux}, Quentin and Gabriele Finco and Francesca Fumagalli and Eleana Gkamprela and St{\'e}phane Legriel and Vladimir Lomivorotov and Aurora Magliocca and Panagiotis Makaronis and Ioannis Mamais and Iliana Mani and Theodoros Mavridis and Paolo Mura and Giuseppe Ristagno and Salvatore Sardo and Nikolaos Papagiannakis and Theodoros Xanthos",

note = "Publisher Copyright: {\textcopyright} 2021, The Author(s).",

year = "2021",

month = jul,

day = "29",

doi = "10.1186/s13054-021-03695-2",

language = "English",

volume = "25",

pages = "265",

journal = "Critical Care",

issn = "1364-8535",

publisher = "BioMed Central",

number = "1",

}

RIS

TY - JOUR

T1 - Clinical practice recommendations on the management of perioperative cardiac arrest: A report from the PERIOPCA Consortium

AU - The PERIOPCA Consortium

AU - Chalkias, Athanasios

AU - Mongardon, Nicolas

AU - Boboshko, Vladimir

AU - Cerny, Vladimir

AU - Constant, Anne Laure

AU - De Roux, Quentin

AU - Finco, Gabriele

AU - Fumagalli, Francesca

AU - Gkamprela, Eleana

AU - Legriel, Stéphane

AU - Lomivorotov, Vladimir

AU - Magliocca, Aurora

AU - Makaronis, Panagiotis

AU - Mamais, Ioannis

AU - Mani, Iliana

AU - Mavridis, Theodoros

AU - Mura, Paolo

AU - Ristagno, Giuseppe

AU - Sardo, Salvatore

AU - Papagiannakis, Nikolaos

AU - Xanthos, Theodoros

AU - Chalkias, Athanasios

AU - Mongardon, Nicolas

AU - Boboshko, Vladimir

AU - Cerny, Vladimir

AU - Constant, Anne Laure

AU - De Roux, Quentin

AU - Finco, Gabriele

AU - Fumagalli, Francesca

AU - Gkamprela, Eleana

AU - Legriel, Stéphane

AU - Lomivorotov, Vladimir

AU - Magliocca, Aurora

AU - Makaronis, Panagiotis

AU - Mamais, Ioannis

AU - Mani, Iliana

AU - Mavridis, Theodoros

AU - Mura, Paolo

AU - Ristagno, Giuseppe

AU - Sardo, Salvatore

AU - Papagiannakis, Nikolaos

AU - Xanthos, Theodoros

PY - 2021/7/29

Y1 - 2021/7/29

N2 - Background: Perioperative cardiac arrest is a rare complication with an incidence of around 1 in 1400 cases, but it carries a high burden of mortality reaching up to 70% at 30 days. Despite its specificities, guidelines for treatment of perioperative cardiac arrest are lacking. Gathering the available literature may improve quality of care and outcome of patients. Methods: The PERIOPCA Task Force identified major clinical questions about the management of perioperative cardiac arrest and framed them into the therapy population [P], intervention [I], comparator [C], and outcome [O] (PICO) format. Systematic searches of PubMed, Embase, and the Cochrane Library for articles published until September 2020 were performed. Consensus-based treatment recommendations were created using the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) system. The strength of consensus among the Task Force members about the recommendations was assessed through a modified Delphi consensus process. Results: Twenty-two PICO questions were addressed, and the recommendations were validated in two Delphi rounds. A summary of evidence for each outcome is reported and accompanied by an overall assessment of the evidence to guide healthcare providers. Conclusions: The main limitations of our work lie in the scarcity of good quality evidence on this topic. Still, these recommendations provide a basis for decision making, as well as a guide for future research on perioperative cardiac arrest.

AB - Background: Perioperative cardiac arrest is a rare complication with an incidence of around 1 in 1400 cases, but it carries a high burden of mortality reaching up to 70% at 30 days. Despite its specificities, guidelines for treatment of perioperative cardiac arrest are lacking. Gathering the available literature may improve quality of care and outcome of patients. Methods: The PERIOPCA Task Force identified major clinical questions about the management of perioperative cardiac arrest and framed them into the therapy population [P], intervention [I], comparator [C], and outcome [O] (PICO) format. Systematic searches of PubMed, Embase, and the Cochrane Library for articles published until September 2020 were performed. Consensus-based treatment recommendations were created using the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) system. The strength of consensus among the Task Force members about the recommendations was assessed through a modified Delphi consensus process. Results: Twenty-two PICO questions were addressed, and the recommendations were validated in two Delphi rounds. A summary of evidence for each outcome is reported and accompanied by an overall assessment of the evidence to guide healthcare providers. Conclusions: The main limitations of our work lie in the scarcity of good quality evidence on this topic. Still, these recommendations provide a basis for decision making, as well as a guide for future research on perioperative cardiac arrest.

KW - Cardiac arrest

KW - PERIOPCA

KW - Perioperative

KW - Resuscitation

UR - http://www.scopus.com/inward/record.url?scp=85111664706&partnerID=8YFLogxK

UR - https://www.mendeley.com/catalogue/1cd2bd04-b0b9-36e8-85dc-3e596272f6fa/

U2 - 10.1186/s13054-021-03695-2

DO - 10.1186/s13054-021-03695-2

M3 - Review article

C2 - 34325723

AN - SCOPUS:85111664706

VL - 25

SP - 265

JO - Critical Care

JF - Critical Care

SN - 1364-8535

IS - 1

M1 - 265

ER -

ID: 29292196