Post cardiac arrest care: Difference between revisions
(Text replacement - "Tx" to "treatment") |
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==Management== | ==Management== | ||
*Maintain perfusion (cerebral) | *Maintain perfusion (cerebral) | ||
** | **Treat hypotension | ||
** | **Ignore hypertension | ||
**normal PaCO2 (~40) | **Maintain normal PaCO2 (~40) | ||
*Normoxia | *Target Normoxia | ||
**PaO2 80-120 | **PaO2 80-120 | ||
*[[Therapeutic Hypothermia]] | *[[Therapeutic Hypothermia]] | ||
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**Early reperfusion therapy is important to ID coronaries as ECG cannot reliably predict them in these cases<ref>Kern, KB. Optimal Treatment of Patients Surviving Out-of-Hospital Cardiac Arrest. J Am Coll Cardiol Intv. 2012; 5(6):597-605. doi:10.1016/j.jcin.2012.01.017</ref> | **Early reperfusion therapy is important to ID coronaries as ECG cannot reliably predict them in these cases<ref>Kern, KB. Optimal Treatment of Patients Surviving Out-of-Hospital Cardiac Arrest. J Am Coll Cardiol Intv. 2012; 5(6):597-605. doi:10.1016/j.jcin.2012.01.017</ref> | ||
*Aggressively treat hyperglycemia | *Aggressively treat hyperglycemia | ||
** | **No IV fluids with glucose | ||
**RISS | **RISS | ||
*Aggressive seizure treatment | *Aggressive seizure treatment | ||
** | **Prophylaxis unproven | ||
*Minimize Irritation | *Minimize Irritation | ||
** | **Sedatives +/- paralytics | ||
** | **Supine positioning | ||
==See Also== | ==See Also== | ||
Revision as of 00:44, 8 March 2019
Management
- Maintain perfusion (cerebral)
- Treat hypotension
- Ignore hypertension
- Maintain normal PaCO2 (~40)
- Target Normoxia
- PaO2 80-120
- Therapeutic Hypothermia
- PCI
- Early reperfusion therapy is important to ID coronaries as ECG cannot reliably predict them in these cases[1]
- Aggressively treat hyperglycemia
- No IV fluids with glucose
- RISS
- Aggressive seizure treatment
- Prophylaxis unproven
- Minimize Irritation
- Sedatives +/- paralytics
- Supine positioning
See Also
References
- ↑ Kern, KB. Optimal Treatment of Patients Surviving Out-of-Hospital Cardiac Arrest. J Am Coll Cardiol Intv. 2012; 5(6):597-605. doi:10.1016/j.jcin.2012.01.017