TY - JOUR
T1 - 2019 American Heart Association Focused Update on Advanced Cardiovascular Life Support
T2 - Use of Advanced Airways, Vasopressors, and Extracorporeal Cardiopulmonary Resuscitation during Cardiac Arrest: An Update to the American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care
AU - Panchal, Ashish R.
AU - Berg, Katherine M.
AU - Hirsch, Karen G.
AU - Kudenchuk, Peter J.
AU - Del Rios, Marina
AU - Cabanãs, José G.
AU - Link, Mark S.
AU - Kurz, Michael C.
AU - Chan, Paul S.
AU - Morley, Peter T.
AU - Hazinski, Mary Fran
AU - Donnino, Michael W.
N1 - Funding Information:
Zoll Medical Foundation†; Zoll Medical Corp†; NIH (research grants, both received and pending)†
Publisher Copyright:
© 2019 American Heart Association, Inc.
PY - 2019/12/10
Y1 - 2019/12/10
N2 - The fundamentals of cardiac resuscitation include the immediate provision of high-quality cardiopulmonary resuscitation combined with rapid defibrillation (as appropriate). These mainstays of therapy set the groundwork for other possible interventions such as medications, advanced airways, extracorporeal cardiopulmonary resuscitation, and post-cardiac arrest care, including targeted temperature management, cardiorespiratory support, and percutaneous coronary intervention. Since 2015, an increased number of studies have been published evaluating some of these interventions, requiring a reassessment of their use and impact on survival from cardiac arrest. This 2019 focused update to the American Heart Association advanced cardiovascular life support guidelines summarizes the most recent published evidence for and recommendations on the use of advanced airways, vasopressors, and extracorporeal cardiopulmonary resuscitation during cardiac arrest. It includes revised recommendations for all 3 areas, including the choice of advanced airway devices and strategies during cardiac arrest (eg, bag-mask ventilation, supraglottic airway, or endotracheal intubation), the training and retraining required, the administration of standard-dose epinephrine, and the decisions involved in the application of extracorporeal cardiopulmonary resuscitation and its potential impact on cardiac arrest survival.
AB - The fundamentals of cardiac resuscitation include the immediate provision of high-quality cardiopulmonary resuscitation combined with rapid defibrillation (as appropriate). These mainstays of therapy set the groundwork for other possible interventions such as medications, advanced airways, extracorporeal cardiopulmonary resuscitation, and post-cardiac arrest care, including targeted temperature management, cardiorespiratory support, and percutaneous coronary intervention. Since 2015, an increased number of studies have been published evaluating some of these interventions, requiring a reassessment of their use and impact on survival from cardiac arrest. This 2019 focused update to the American Heart Association advanced cardiovascular life support guidelines summarizes the most recent published evidence for and recommendations on the use of advanced airways, vasopressors, and extracorporeal cardiopulmonary resuscitation during cardiac arrest. It includes revised recommendations for all 3 areas, including the choice of advanced airway devices and strategies during cardiac arrest (eg, bag-mask ventilation, supraglottic airway, or endotracheal intubation), the training and retraining required, the administration of standard-dose epinephrine, and the decisions involved in the application of extracorporeal cardiopulmonary resuscitation and its potential impact on cardiac arrest survival.
KW - AHA Scientific Statements
KW - advanced cardiac life support
KW - airway management
KW - cardiopulmonary resuscitation
KW - extracorporeal membrane oxygenation
KW - heart arrest
KW - vasoconstrictor agents
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U2 - 10.1161/CIR.0000000000000732
DO - 10.1161/CIR.0000000000000732
M3 - Review article
C2 - 31722552
AN - SCOPUS:85076332748
SN - 0009-7322
VL - 140
SP - E881-E894
JO - Circulation
JF - Circulation
IS - 24
ER -