Infographic

Perioperative Cardiac
c Arrest:
Focus on Anaphylaxiss
When compared to out-of-hospital cardiac arrests, such events that occur in the perioperative
setting are unique with respect to their etiology, the fact that they are often witnessed firsthand
and their significant departure from standard ACLS algorithms. A mnemonic device for the general
Downloaded from https://journals.lww.com/anesthesia-analgesia by BhDMf5ePHKav1zEoum1tQfN4a+kJLhEZgbsIHo4XMi0hCywCX1AWnYQp/IlQrHD3StWKv21Bgex+ohYLe7J48pTaI8IAT0O1+Ch3OgIxX+B/o99e26CWHg== on 02/12/2020

approach to anaphylaxis is illustrated below.

NMBs Anti
Antibiotics
i ics Bl
Blood Contrast
C n r st Latex
L te

Rx

Fluids
R 100-300 mcg IV or
300-500 mcg IM
Epinephrine for impending arrest
100-1000 mcg IV
Steroids (50 - 150 mg hydrocortisone or equivalent)
cardiac arrest

Histamine blockers (50mg diphenhydramine

20 mg famotidine)

Airway
CPR
For a Tryptase
minimum of
ICU 2 U IV
24 hours for impending arrest

Vasopressin
unresponsive to epi
40 U IV
ECMO
during arrest
unresponsive
to epi

Review articles contained in this issue elaborate the unique characteristics of in-hospital, periopera-
tive cardiac arrest and delineate the approach to eight clinical scenarios1,2. The reader is encour-
aged to explore these reviews for further detail.

March 2018 • Volume 126 • Number 3 www.anesthesia-analgesia.org 735