Key result
Continuous oscilloscopic monitoring of electrical activity during cardiac surgery was noted to be a significant factor in reducing mortality from cardiac arrest.
Continuous electrical monitoring and prompt resuscitation are critical for successfully treating cardiac arrest during cardiac surgery.
THE INCREASING awareness that cardiac standstill is a reversible event has led to earlier recognition and successful restoration of the heart beat. Particularly in the realm of cardiac surgery, this heretofore catastrophic complication may be anticipated and efficiently treated. Except perhaps for such calamities as inadvertent occlusion of a coronary artery or sudden massive blood loss, there is usually ample advance evidence of an impending crisis presented to the alert anesthesiologist or cardiologist. An oscilloscopic device for continuous registration of the electrical activity of the heart under the constant observation of a competent interpreter is extremely desirable in cardiac surgery and in our experience has proved a significant factor in reduction of mortality. Cardiac resuscitation may not be successful in the presence of advanced myocardial degeneration or inadequate coronary blood flow. However, in relatively normal hearts with adequate coronary arteries, resuscitation should be ultimately successful if adequate measures are immediately
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Bernard L. Brofman (1954) conducted a review in Cardiac arrest. Continuous oscilloscopic monitoring and cardiac resuscitation was evaluated. Continuous oscilloscopic monitoring of electrical activity during cardiac surgery was noted to be a significant factor in reducing mortality from cardiac arrest.
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