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Post CABG cardiac arrest

Golestan Hospital, Jondishapour University, Ahvaz 6135713119, Iran

Should adrenaline be routinely used by the resuscitation team if a patient suffers a cardiac arrest shortly after cardiac surgery?

I don't recommend adrenaline for post CABG arrest [1]. I think it is better to come back to the operating room promptly, if normal condition doesn't return after primary works. Placement of CPB, examination of grafts and redoing CABG (on pump, beating) is the best option. If grafts are apparently normal, then redo CABG from the most important target vessels (on pump, beating). After each graft we try to be off from CPB. If everything is OK, the chest is closed, if not, other important grafts will begin. I think immediate re-sternotomy for other post cardiac surgery arrest is the procedure of choice if external massage is ineffective.

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1. Tsagkataki M, Levine A, Strang T, Dunning J. Should adrenaline be routinely used by the resuscitation team if a patient suffers a cardiac arrest shortly after cardiac surgery? Interact CardioVasc Thorac Surg 2008;7:457–463.[Abstract/Free Full Text]

This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Amanollah Heidari Permission Requests Google Scholar Articles by Heidari, A. PubMed Articles by Heidari, A. Related Collections Related Article