Related Experiment Video
Updated: Dec 14, 2025

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement
Published on: March 26, 2018
Crisis checklist (Code Red) for the management of cardiac arrest during minimally invasive thoracic surgery: case
Philippe Rinieri1, Jean Selim2, Vincent Le Guillou3
1Department of General and Thoracic Surgery, Rouen University Hospital, Charles Nicolle Hospital, 1 rue de Germont, 76031, Rouen, France. philippe.rinieri@chu-rouen.fr.
Background:
The management of cardiac arrest during video assisted thoracic surgery is challenging. Checklist use improve the management of operating-room crises.
Case Presentation:
Cardiac arrest (asystole) occurred during anatomical pulmonary resection by minimally invasive surgery. Conversion to thoracotomy was decided (thoracic surgeon and anesthesiologist conjointly) to check for absence of cardiac bleeding and to start cardiac massage (4 min no-flow). After few minutes, ventricular fibrillation occurred and persisted despite shocks. Extracorporeal life support with veno-arterial extracorporeal membrane oxygenation allowed a return of spontaneous circulation (45 min low-flow).
Conclusions:
The patient survived without central neurologic deficit due to perfect team work process using a crisis check-list (strengthened by a comprehensive simulation program with crisis resource management).
More Related Videos
Related Concept Videos
Cardiopulmonary Resuscitation II: ACLS Airway Management
Acute Coronary Syndrome V: Nursing Management
Cardiopulmonary Resuscitation IV: Pharmacological Management
Cardiomyopathy VII: Pre and Post Operative Nursing Management
Acute Coronary Syndrome IV: Interprofessional Care
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques

