The Internet Book of Critical Care Podcast IBCC Episode 14 Post Cardiac Arrest Management
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Dec 5, 2018 The podcast discusses the management of patients after cardiac arrest, including resuscitation goals, workup and management of cardiac arrest patients, potential complications, early neuro-prognostication, post-cardiac arrest management, and pitfalls to avoid.
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Initial Stabilization Goals
- Intubate post-ROSC patients but avoid hyperoxia by targeting 90-96% saturation.
- Maintain normocapnia with PCO2 between 35-45 and support circulation aggressively to prevent re-arrest.
Individualize Blood Pressure Targets
- Blood pressure targets after cardiac arrest should be individualized.
- Keep MAP above 65 but consider higher MAP if patient's baseline is hypertensive.
Post Arrest Workup Essentials
- Conduct bedside echo and serial EKGs to evaluate cause of arrest, considering defibrillation effects.
- Order labs including glucose and electrolytes to investigate underlying etiology comprehensively.