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Crisis checklist (Code Red) for the management of cardiac arrest during minimally invasive thoracic surgery: case report.

作者信息

Rinieri Philippe, Selim Jean, Le Guillou Vincent, Baste Jean-Marc

机构信息

Department of General and Thoracic Surgery, Rouen University Hospital, Charles Nicolle Hospital, 1 rue de Germont, 76031, Rouen, France.

Department of Anaesthesiology and Intensive Care, Rouen University Hospital, Rouen, France.

出版信息

J Cardiothorac Surg. 2020 Jul 16;15(1):173. doi: 10.1186/s13019-020-01200-4.

DOI:10.1186/s13019-020-01200-4
PMID:32677971
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7367320/
Abstract

BACKGROUND

The management of cardiac arrest during video assisted thoracic surgery is challenging. Checklist use improve the management of operating-room crises.

CASE PRESENTATION

Cardiac arrest (asystole) occurred during anatomical pulmonary resection by minimally invasive surgery. Conversion to thoracotomy was decided (thoracic surgeon and anesthesiologist conjointly) to check for absence of cardiac bleeding and to start cardiac massage (4 min no-flow). After few minutes, ventricular fibrillation occurred and persisted despite shocks. Extracorporeal life support with veno-arterial extracorporeal membrane oxygenation allowed a return of spontaneous circulation (45 min low-flow).

CONCLUSIONS

The patient survived without central neurologic deficit due to perfect team work process using a crisis check-list (strengthened by a comprehensive simulation program with crisis resource management).

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2614/7367320/7c20ac784e45/13019_2020_1200_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2614/7367320/6e28f61b40f1/13019_2020_1200_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2614/7367320/7c20ac784e45/13019_2020_1200_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2614/7367320/6e28f61b40f1/13019_2020_1200_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2614/7367320/7c20ac784e45/13019_2020_1200_Fig2_HTML.jpg

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Commentary: A checklist is nothing without simulation training and collaborative culture.

本文引用的文献

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Development of an In Situ Thoracic Surgery Crisis Simulation Focused on Nontechnical Skill Training.现场胸腔手术危机模拟的开发，侧重于非技术技能培训。
Ann Thorac Surg. 2018 Jul;106(1):287-292. doi: 10.1016/j.athoracsur.2018.01.058. Epub 2018 Feb 27.
2
European Resuscitation Council Guidelines for Resuscitation 2015: Section 3. Adult advanced life support.《2015年欧洲复苏委员会复苏指南：第3部分. 成人高级生命支持》
Resuscitation. 2015 Oct;95:100-47. doi: 10.1016/j.resuscitation.2015.07.016.
3
Major intraoperative complications during video-assisted thoracoscopic anatomical lung resections: an intention-to-treat analysis.
评论：没有模拟训练和协作文化，检查表毫无用处。
JTCVS Tech. 2021 Nov 2;11:74-75. doi: 10.1016/j.xjtc.2021.10.059. eCollection 2022 Feb.
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Implementation of simulation-based crisis training in robotic thoracic surgery: how to improve safety and performance?基于模拟的危机培训在机器人辅助胸外科手术中的应用：如何提高安全性和性能？
J Thorac Dis. 2021 Aug;13(Suppl 1):S26-S34. doi: 10.21037/jtd-2020-epts-03.
电视辅助胸腔镜解剖性肺切除术中的主要术中并发症：一项意向性分析。
Eur J Cardiothorac Surg. 2015 Oct;48(4):588-98; discussion 599. doi: 10.1093/ejcts/ezv287.
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Simulation-based trial of surgical-crisis checklists.基于模拟的手术危机检查表试验。
N Engl J Med. 2013 Jan 17;368(3):246-53. doi: 10.1056/NEJMsa1204720.
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Back from irreversibility: extracorporeal life support for prolonged cardiac arrest.从不可逆性中逆转：体外生命支持用于长时间心脏骤停
Ann Thorac Surg. 2005 Jan;79(1):178-83; discussion 183-4. doi: 10.1016/j.athoracsur.2004.06.095.