European Resuscitation Council guidelines 2021: Adult advanced life support changes related to the guidelines 2015

Adult advanced life support guidelines 2021 provided by the European Resuscitation Council in its largest extent do not differ significantly from equivalent guidelines published six years ago. However, some important points were further emphasized, and some protocols show new additions and structura...

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Autores principales:	Nikolovski Srđan, Čizmović Lovćenka
Formato:	article
Lenguaje:	EN SR
Publicado:	Serbian Resuscitation Council, Novi Sad 2021
Materias:	guidelines 2021 advanced life support adrenaline pocus Diseases of the circulatory (Cardiovascular) system RC666-701
Acceso en línea:	https://doaj.org/article/bc01ec168c7b4f90a38d25458ef4e1ad
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spelling	oai:doaj.org-article:bc01ec168c7b4f90a38d25458ef4e1ad2021-12-05T21:23:30ZEuropean Resuscitation Council guidelines 2021: Adult advanced life support changes related to the guidelines 20152466-26232620-021X10.5937/jrb7-32738https://doaj.org/article/bc01ec168c7b4f90a38d25458ef4e1ad2021-01-01T00:00:00Zhttps://scindeks-clanci.ceon.rs/data/pdf/2466-2623/2021/2466-26232118298N.pdfhttps://doaj.org/toc/2466-2623https://doaj.org/toc/2620-021XAdult advanced life support guidelines 2021 provided by the European Resuscitation Council in its largest extent do not differ significantly from equivalent guidelines published six years ago. However, some important points were further emphasized, and some protocols show new additions and structural changes. According to the new guidelines, there is a greater recognition that patients with both in-hospital and out-of-hospital cardiac arrest have premonitory signs, and that many of these arrests may be preventable. High-quality chest compressions with minimal interruption, early defibrillation, and treatment of reversible causes remained high priority steps in resuscitation process. New guidelines also recommend that, if an advanced airway is required, rescuers with a high tracheal intubation success rate should use this technique. With regard to using diagnostic procedures, medications, and special methods of cardiopulmonary resuscitation, newest guidelines also made new suggestions. According to these guidelines, when adrenaline is used, it should be used as soon as possible when the cardiac arrest rhythm is non-shockable, and after three defibrillation attempts for a shockable cardiac arrest rhythm. The guidelines recognise the increasing role of point-of-care ultrasound in peri-arrest care for diagnosis, but emphasis that it requires a skilled operator, and the need to minimise interruptions during chest compression. Additionally, 2015 guidelines suggested use of point-of-care ultrasound in diagnosing several various conditions with potential of causing cardiac arrest. However, 2021 guidelines limited indications in diagnosing only cardiac causes, such as tamponade or pneumothorax. The guidelines also reflect the increasing evidence for extracorporeal cardiopulmonary resuscitation as a rescue therapy for selected patients with cardiac arrest when conventional advanced life support measures are failing or to facilitate specific interventions. Additionally, newest guidelines made significant changes in the order of steps used in the In/hospital resuscitation algorithm, as well as changes in several very important steps of treating tachycardias and high heart rate associated arrhythmias.Nikolovski SrđanČizmović LovćenkaSerbian Resuscitation Council, Novi Sadarticleguidelines 2021advanced life supportadrenalinepocusDiseases of the circulatory (Cardiovascular) systemRC666-701ENSRJournal Resuscitatio Balcanica, Vol 7, Iss 18, Pp 298-303 (2021)
institution	DOAJ
collection	DOAJ
language	EN SR
topic	guidelines 2021 advanced life support adrenaline pocus Diseases of the circulatory (Cardiovascular) system RC666-701
spellingShingle	guidelines 2021 advanced life support adrenaline pocus Diseases of the circulatory (Cardiovascular) system RC666-701 Nikolovski Srđan Čizmović Lovćenka European Resuscitation Council guidelines 2021: Adult advanced life support changes related to the guidelines 2015
description	Adult advanced life support guidelines 2021 provided by the European Resuscitation Council in its largest extent do not differ significantly from equivalent guidelines published six years ago. However, some important points were further emphasized, and some protocols show new additions and structural changes. According to the new guidelines, there is a greater recognition that patients with both in-hospital and out-of-hospital cardiac arrest have premonitory signs, and that many of these arrests may be preventable. High-quality chest compressions with minimal interruption, early defibrillation, and treatment of reversible causes remained high priority steps in resuscitation process. New guidelines also recommend that, if an advanced airway is required, rescuers with a high tracheal intubation success rate should use this technique. With regard to using diagnostic procedures, medications, and special methods of cardiopulmonary resuscitation, newest guidelines also made new suggestions. According to these guidelines, when adrenaline is used, it should be used as soon as possible when the cardiac arrest rhythm is non-shockable, and after three defibrillation attempts for a shockable cardiac arrest rhythm. The guidelines recognise the increasing role of point-of-care ultrasound in peri-arrest care for diagnosis, but emphasis that it requires a skilled operator, and the need to minimise interruptions during chest compression. Additionally, 2015 guidelines suggested use of point-of-care ultrasound in diagnosing several various conditions with potential of causing cardiac arrest. However, 2021 guidelines limited indications in diagnosing only cardiac causes, such as tamponade or pneumothorax. The guidelines also reflect the increasing evidence for extracorporeal cardiopulmonary resuscitation as a rescue therapy for selected patients with cardiac arrest when conventional advanced life support measures are failing or to facilitate specific interventions. Additionally, newest guidelines made significant changes in the order of steps used in the In/hospital resuscitation algorithm, as well as changes in several very important steps of treating tachycardias and high heart rate associated arrhythmias.
format	article
author	Nikolovski Srđan Čizmović Lovćenka
author_facet	Nikolovski Srđan Čizmović Lovćenka
author_sort	Nikolovski Srđan
title	European Resuscitation Council guidelines 2021: Adult advanced life support changes related to the guidelines 2015
title_short	European Resuscitation Council guidelines 2021: Adult advanced life support changes related to the guidelines 2015
title_full	European Resuscitation Council guidelines 2021: Adult advanced life support changes related to the guidelines 2015
title_fullStr	European Resuscitation Council guidelines 2021: Adult advanced life support changes related to the guidelines 2015
title_full_unstemmed	European Resuscitation Council guidelines 2021: Adult advanced life support changes related to the guidelines 2015
title_sort	european resuscitation council guidelines 2021: adult advanced life support changes related to the guidelines 2015
publisher	Serbian Resuscitation Council, Novi Sad
publishDate	2021
url	https://doaj.org/article/bc01ec168c7b4f90a38d25458ef4e1ad
work_keys_str_mv	AT nikolovskisrđan europeanresuscitationcouncilguidelines2021adultadvancedlifesupportchangesrelatedtotheguidelines2015 AT cizmoviclovcenka europeanresuscitationcouncilguidelines2021adultadvancedlifesupportchangesrelatedtotheguidelines2015
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European Resuscitation Council guidelines 2021: Adult advanced life support changes related to the guidelines 2015

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