Pulseless electrical activity surgery: Difference between revisions
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External and internal pacing have not been shown to improve outcome and are not recommended. There may be capture of the signals, but there is no improvement in contractility. | External and internal pacing have not been shown to improve outcome and are not recommended. There may be capture of the signals, but there is no improvement in contractility. | ||
<br /> | Pericardiocentesis and emergent cardiac surgery may be lifesaving procedures in appropriate patients with pulseless electrical activity (PEA). In refractory cases, if the patient has suffered chest trauma, a thoracotomy may be performed, provided adequate expertise is available. Pericardial drainage and emergent surgery may be lifesaving in appropriate patients with pulseless electrical activity. In a patient with a refractory case and chest trauma, a thoracotomy may be performed. Near pulseless electrical activity or a very low-output state may also be managed with the circulatory assistance (e.g., intra-aortic balloon pump, extracorporeal membrane oxygenation, cardiopulmonary bypass, and ventricular assist device). | ||
The chances of a successful outcome depend on a very coordinated resuscitation process. There should be a specific person responsible for specific steps and a good team leader<br /> | |||
== Surgery == | == Surgery == | ||
Pericardiocentesis | Pericardiocentesis | ||
Thoracotomy | |||
circulatory assistance | |||
Intra-aortic balloon pump | |||
extracorporeal membrane oxygenation | |||
cardiopulmonary bypass | |||
ventricular assist device). | |||
<ref name="pmid30020721">{{cite journal| author=| title=StatPearls | journal= | year= 2020 | volume= | issue= | pages= | pmid=30020721 | doi= | pmc= | url= }}</ref> | |||
==References== | ==References== | ||
Revision as of 20:12, 1 April 2020
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Resident Survival Guide |
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Pulseless electrical activity Microchapters |
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Differentiating Pulseless Electrical Activity from other Diseases |
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Diagnosis |
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Treatment |
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Case Studies |
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Pulseless electrical activity surgery On the Web |
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American Roentgen Ray Society Images of Pulseless electrical activity surgery |
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Directions to Hospitals Treating Pulseless electrical activity |
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Risk calculators and risk factors for Pulseless electrical activity surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
External and internal pacing have not been shown to improve outcome and are not recommended. There may be capture of the signals, but there is no improvement in contractility.
Pericardiocentesis and emergent cardiac surgery may be lifesaving procedures in appropriate patients with pulseless electrical activity (PEA). In refractory cases, if the patient has suffered chest trauma, a thoracotomy may be performed, provided adequate expertise is available. Pericardial drainage and emergent surgery may be lifesaving in appropriate patients with pulseless electrical activity. In a patient with a refractory case and chest trauma, a thoracotomy may be performed. Near pulseless electrical activity or a very low-output state may also be managed with the circulatory assistance (e.g., intra-aortic balloon pump, extracorporeal membrane oxygenation, cardiopulmonary bypass, and ventricular assist device).
The chances of a successful outcome depend on a very coordinated resuscitation process. There should be a specific person responsible for specific steps and a good team leader
Surgery
Pericardiocentesis
Thoracotomy
circulatory assistance
Intra-aortic balloon pump
extracorporeal membrane oxygenation
cardiopulmonary bypass
ventricular assist device).