Key result
When circulation to the brain stops during cardiac arrest in the operating room, it must be restarted within approximately four minutes for the patient to survive.
Highlights the critical four-minute time limit for restarting circulation during cardiac arrest in the operating room to ensure patient survival.
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Supports immediate resuscitation protocols in perioperative arrest; leaves open need for prospective validation of time thresholds.
There is nothing more catastrophic from the standpoint of the family, the surgeon, the anesthetist, and all other persons involved than a sudden unexpected death in the operating room. This is especially true if the patient is a healthy person who is undergoing some relatively minor elective operative procedure. This catastrophe occurs so infrequently in each hospital that the experience of any one surgeon or anesthetist in dealing with the problem may be small. For this reason, it is perhaps worth while to stress again the important points in its prevention and treatment. When the circulation of the blood to the brain stops, it must be started again within approximately four minutes if the patient is to survive. This time limit is of the greatest importance. Experience has shown that, in the presence of this emergency, virtually no surgeon or anesthetist is able to act quickly enough unless he has
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Julian Johnson (1954) conducted a review in Cardiac arrest in the operating room. Prevention and treatment strategies was evaluated. When circulation to the brain stops during cardiac arrest in the operating room, it must be restarted within approximately four minutes for the patient to survive.
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