In-hospital cardiac arrest: the state of the art

In-hospital cardiac arrest (IHCA) is associated with a high risk of death, but mortality rates are decreasing. The latest epidemiological and outcome data from several cardiac arrest registries are helping to shape our understanding of IHCA. The introduction of rapid response teams has been associat...

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Bibliographic Details
Published in:Critical care (London, England) England), 2022-12, Vol.26 (1), p.376-376, Article 376
Main Authors: Penketh, James, Nolan, Jerry P
Format: Article
Language:English
Subjects:
Cardiac arrest
Cardiovascular disease
Care and treatment
Casualties
Chronic obstructive pulmonary disease
CPR (First aid)
Critical care
Datasets
Electric countershock
Epidemiology
Heart Arrest - epidemiology
Heart Arrest - therapy
Heart failure
Hospital patients
Hospitals
Humans
Hypoxia
Ischemia
Medical prognosis
Morbidity
Mortality
Patient admissions
Patient outcomes
Prevention
Prognostication
Response
Resuscitation
Retrospective Studies
Review
Risk factors
Teams
Traumatic brain injury
Treatment
Trends
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Summary:In-hospital cardiac arrest (IHCA) is associated with a high risk of death, but mortality rates are decreasing. The latest epidemiological and outcome data from several cardiac arrest registries are helping to shape our understanding of IHCA. The introduction of rapid response teams has been associated with a downward trend in hospital mortality. Technology and access to defibrillators continues to progress. The optimal method of airway management during IHCA remains uncertain, but there is a trend for decreasing use of tracheal intubation and increased use of supraglottic airway devices. The first randomised clinical trial of airway management during IHCA is ongoing in the UK. Retrospective and observational studies have shown that several pre-arrest factors are strongly associated with outcome after IHCA, but the risk of bias in such studies makes prognostication of individual cases potentially unreliable. Shared decision making and advanced care planning will increase application of appropriate DNACPR decisions and decrease rates of resuscitation attempts following IHCA.
ISSN:1364-8535
1466-609X
1364-8535
1366-609X
DOI:10.1186/s13054-022-04247-y