Lynchburg Journal of Medical Science

Lynchburg Journal of Medical Science


Critical Care Medicine


Dr. Laura Witte


Despite the known mortality benefits of performing Advanced Cardiac Life Support (ACLS) over Basic Life Support (BLS), ACLS does not benefit all patients. For patients who are post cardiac surgery, Cardiac Surgery Unit – Advance Life Support (CSU-ALS) guidelines increase survival for those who go into cardiac arrest in the post-operative period. Both the Society of Thoracic Surgeons and European Association for Cardio-Thoracic Surgery support CSU-ALS guidelines for patients who are post cardiac surgery. These guidelines differ from ACLS by limiting chest compressions and epinephrine with a primary goal to re-sternotomy. Although improved mortality is well documented, CSU-ALS guidelines have not been widely accepted in the United States.


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