Post–Cardiac Arrest Syndrome with Dr. Alexis Topjian-Part 1

21 snips

Jan 1, 2024

Dr. Alexis Topjian, Professor of Anesthesiology and Critical Care at the University of Pennsylvania, discusses post-cardiac arrest syndrome, including topics such as post-arrest care and management, approaching hypertension and sedation, and specialized monitoring and testing in the ICU.

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Introduction

00:00 • 5min

Getting Involved in Research: Advice for Pick-You Fellowship

05:01 • 2min

Post-Arrest Care and Management

07:20 • 11min

Approaching Hypertension and Sedation in Post-Cardiac Arrest Patients

18:28 • 4min

Specialized monitoring and testing for post-arrest patients in the ICU

22:25 • 8min

Alexis Topjian, MD, MSCE is a Professor of Anesthesiology and Critical Care at the University of Pennsylvania. She is an intensivist at the Children’s Hospital of Philadelphia where she also serves as the Fellowship Director of Neurocritical Care, Director of the Pediatric Neurocritical Care Program, and the Director of Faculty Development. She also was the first author on the 2019 Pediatric Post–Cardiac Arrest Care Scientific Statement from the American Heart Association.

Learning Objectives:

By the end of this podcast, listeners should be able to describe:

The clinical characteristics of post-cardiac arrest syndrome.
The general goals and guiding principles of high quality post-cardiac arrest care.
An evidence-based approach to diagnostic testing and monitoring of the post-cardiac arrest patient.
An evidence-based approach to supportive treatment of the post-cardiac arrest patient with an emphasis on targeted temperature management.
Relevant prognostic factors and best practices communicating prognosis to families of children who have suffered a cardiac arrest.

References:

Topjian AA, de Caen A, Wainwright MS, Abella BS, Abend NS, Atkins DL, Bembea MM, Fink EL, Guerguerian AM, Haskell SE, Kilgannon JH, Lasa JJ, Hazinski MF. Pediatric Post-Cardiac Arrest Care: A Scientific Statement From the American Heart Association. Circulation. 2019 Aug 6;140(6):e194-e233. doi: 10.1161/CIR.0000000000000697. Epub 2019 Jun 27. PMID: 31242751.

Moler et al. Therapeutic hypothermia after out-of-hospital cardiac arrest in children. N Engl J Med. 2015 May 14;372(20):1898-908. doi: 10.1056/NEJMoa1411480. Epub 2015 Apr 25. PMID: 25913022; PMCID: PMC4470472.

Moler et al; THAPCA Trial Investigators. Therapeutic Hypothermia after In-Hospital Cardiac Arrest in Children. N Engl J Med. 2017 Jan 26;376(4):318-329. doi: 10.1056/NEJMoa1610493. Epub 2017 Jan 24. PMID: 28118559; PMCID: PMC5310766.

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