Yeung, Joyce, Couper, Keith, Giles, S. and Perkins, Gavin D. (2010) Advances in postresuscitation care. Journal of the Intensive Care Society, 11 (2). pp. 112-117. doi:10.1177/175114371001100208 ISSN 1751-1437.

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Abstract

A co-ordinated, evidence-based approach to treatments following cardiac arrest can have a significant impact on outcome. In comatose survivors of cardiac arrest, therapeutic hypothermia (temp 32–34°C) should be induced as soon as possible and maintained for 12–24 hours before controlled rewarming. Cardiac impairment is usually transient and responds to fluids and vasopressors/inotropes. Aim for a mean arterial blood pressure to achieve adequate end organ perfusion. Patients with a suspected cardiac cause of their arrest should be considered for angiography with or without percutaneous transluminal coronary angioplasty (PTCA). Hyperglycaemia should be treated with insulin. Controlled ventilation should aim for oxygen saturations of 94–96% and normocapnia. Prognostic tests are unreliable initially and should be deferred until at least 72 hours following return of normothermia.

Item Type:	Journal Article
Divisions:	Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > ( - July 2016) Health Education Hub Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Journal or Publication Title:	Journal of the Intensive Care Society
Publisher:	Sage Publications Ltd.
ISSN:	1751-1437
Official Date:	2010
Dates:	Date Event 2010 Published
Volume:	11
Number:	2
Page Range:	pp. 112-117
DOI:	10.1177/175114371001100208
Status:	Peer Reviewed
Publication Status:	Published
Access rights to Published version:	Restricted or Subscription Access

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