Hospital management of the post-cardiac arrest patient: priorities and challenges

Passi, Neha; Oliver, Charles M.; Dhadwal, Kulwant

doi:10.12968/hmed.2019.80.2.c22

Cited by 2 publications

(3 citation statements)

References 19 publications

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“…(11) The most common presentations are myoclonus, focal seizures, and tonic-clonic seizures. (53,54) The use of intermittent EEG is recommended for identification when patients are suspicious of seizures, since the motor manifestations are not seizure-specific and systematic monitoring has not proven to be effective in early detection. (11,53) Seizures can be managed with sodium valproate, levetiracetam, phenytoin -which is not the case in myoclonus due to poor effectiveness -, benzodiazepines, propofol or barbiturates.…”

Section: Seizures Controlmentioning

confidence: 99%

“…(53,54) The use of intermittent EEG is recommended for identification when patients are suspicious of seizures, since the motor manifestations are not seizure-specific and systematic monitoring has not proven to be effective in early detection. (11,53) Seizures can be managed with sodium valproate, levetiracetam, phenytoin -which is not the case in myoclonus due to poor effectiveness -, benzodiazepines, propofol or barbiturates. After the first event, maintenance therapy should be initiated, once the potential precipitating causes have been ruled out, such as intracranial hemorrhage or electrolyte imbalances.…”

Section: Seizures Controlmentioning

confidence: 99%

“…The use of prophylactic anticonvulsants after cardiac arrest is not recommended because of their potential adverse effects and because there is not enough supporting evidence. (11,53)…”

Section: Seizures Controlmentioning

confidence: 99%

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Post-cardiac arrest syndrome in adult hospitalized patients

Acosta-Gutiérrez

Alba-Amaya

Roncancio-Rodríguez

et al. 2021

Colomb. J. Anesthesiol.

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Adult In-hospital Cardiac Arrest (IHCA) is defined as the loss of circulation of an in-patient. Following high-quality cardiopulmonary resuscitation (CPR), if the return of spontaneous circulation (ROSC) is achieved, the post-cardiac arrest syndrome develops (PCAS). This review is intended to discuss the current diagnosis and treatment of PCAS. To approach this topic, a bibliography search was conducted through direct digital access to the scientific literature published in English and Spanish between 2014 and 2020, in MedLine, SciELO, Embase and Cochrane. This search resulted in 248 articles from which original articles, systematic reviews, meta-analyses and clinical practice guidelines were selected for a total of 56 documents. The etiologies may be divided into 56% of in-hospital cardiac, and 44% of non-cardiac arrests. The incidence of this physiological collapse is up to 1.6 cases/1,000 patients admitted, and its frequency is higher in the intensive care units (ICU), with an overall survival rate of 13% at one year. The primary components of PCAS are brain injury, myocardial dysfunction and the persistence of the precipitating pathology. The mainstays for managing PCAS are the prevention of cardiac arrest, ventilation support, control of peri-cardiac arrest arrythmias, and interventions to optimize neurologic recovery. A knowledgeable healthcare staff in PCAS results in improved patient survival and future quality of life. Finally, there is clear need to do further research in the Latin American Population.

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Section: Seizures Controlmentioning

confidence: 99%

Section: Seizures Controlmentioning

confidence: 99%

See 1 more Smart Citation

Post-cardiac arrest syndrome in adult hospitalized patients

Acosta-Gutiérrez

Alba-Amaya

Roncancio-Rodríguez

et al. 2021

Colomb. J. Anesthesiol.

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Increasing the Effectiveness of Targeted Temperature Management

Moreda

Beacham

Reese

et al. 2021

Critical Care Nurse

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Topic Targeted temperature management and therapeutic hypothermia are essential components of the multimodal approach to caring for compromised patients after cardiac arrest and severe traumatic brain injury. Clinical Relevance The continuously evolving science necessitates summation of individual facets and concepts to enhance knowledge and application for optimally delivering care. Targeted temperature management is a complex therapy that requires fine-tuning the most effective interventions to maintain high-quality targeted temperature management and maximize patient outcomes. Purpose To describe the underlying pathophysiology of fever and the importance of manipulating water temperature and of preventing and treating shivering during that process. Content Covered This article discusses nursing considerations regarding the care of patients requiring targeted temperature management that are necessary to improve patient outcomes.

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Hospital management of the post-cardiac arrest patient: priorities and challenges

Cited by 2 publications

References 19 publications

Post-cardiac arrest syndrome in adult hospitalized patients

Post-cardiac arrest syndrome in adult hospitalized patients

Increasing the Effectiveness of Targeted Temperature Management

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