Anaes Cases · Perioperative cardiac arrest
Intraoperative arrest — cause analysis
Long case on intraoperative VF: the ERC 2025 shockable pathway, the reversible-cause search, the operating-room modifications and the NAP7 causes and care ratings.
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Prompt
A patient develops VF during an elective laparotomy. Discuss the approach and the cause analysis.
Scenario
A 65-year-old man, ASA 3, develops VF twenty minutes into an elective laparotomy under general anaesthesia. Discuss the approach and the cause analysis.
References4ShowHide
- [1]Soar J, Böttiger BW, Carli P, et al. European Resuscitation Council Guidelines 2025 Adult Advanced Life Support Resuscitation 215 (2025) 110769, 2025.Source
- [2]Lott C, Karageorgos V, Abelairas-Gomez C, et al. European Resuscitation Council Guidelines 2025 Special Circumstances in Resuscitation Resuscitation 215 (2025) 110753, 2025.Source
- [3]Armstrong RA, Soar J, Kane AD, et al. Peri-operative cardiac arrest: epidemiology and clinical features of patients analysed in the 7th National Audit Project of the Royal College of Anaesthetists. Anaesthesia, 2024.PMID 37972476
- [4]Armstrong RA, Cook TM, Kane AD, et al. Peri-operative cardiac arrest: management and outcomes of patients analysed in the 7th National Audit Project of the Royal College of Anaesthetists. Anaesthesia, 2024.PMID 37972480