Intraoperative cardiac arrest digital illustration

Intraoperative cardiac arrest Save


ICD-10 code: I97.71

Chapter: Diseases of the circulatory system

Intraoperative Cardiac Arrest: Causes, Symptoms, and Treatment

Intraoperative cardiac arrest (IOCA) is a medical emergency that occurs during surgery, where the patient's heart stops beating. This can be a life-threatening situation, and it requires immediate medical attention to prevent further complications.

There are several causes of IOCA, including anesthesia-related complications, pre-existing heart conditions, and medication reactions. Patients with a history of heart disease, high blood pressure, or diabetes are at a higher risk of experiencing IOCA during surgery.

The symptoms of IOCA are sudden, and they include loss of consciousness, absence of pulse, and irregular breathing. Medical professionals use various diagnostic tests, including electrocardiograms (ECGs) and echocardiograms, to confirm the diagnosis and determine the appropriate treatment.

  1. Treatment
  2. The treatment for IOCA depends on the underlying cause. Medical professionals must act quickly to restore the patient's heart rhythm and blood flow. CPR and defibrillation are commonly used to revive the patient. Other treatments may include administering medications to regulate the heart rhythm or providing oxygen therapy to support the patient's breathing.

  3. Prevention
  4. Preventing IOCA involves careful monitoring of patients during surgery and proper management of pre-existing conditions. Medical professionals should inform patients of the risks associated with anesthesia and surgery, and patients should disclose their medical history and any current medications they are taking.

  5. Prognosis
  6. The prognosis for IOCA is dependent on several factors, including the underlying cause, the patient's age, and their overall health. Patients who experience IOCA may require further medical treatment, including medications and additional surgeries. It is essential to work with medical professionals to develop a long-term treatment plan and monitor for any potential complications.

Overall, IOCA is a rare but serious medical emergency that requires immediate attention from medical professionals. Patients should disclose their medical history and current medications to their healthcare provider, and medical professionals should monitor patients carefully during surgery to prevent IOCA. Early diagnosis and treatment can improve the patient's prognosis and reduce the risk of further complications.