Management of cardiac arrest patients to maximize neurologic outcome

Hans Adrian Püttgen, Hardin Pantle, Romergryko G. Geocadin

Research output: Contribution to journalReview article

Abstract

PURPOSE OF REVIEW: Each year, hundreds of thousands of people will be resuscitated after a cardiac arrest. A significant portion of these patients will lapse into a disease state which is the product of modern emergency and critical care medicine: the postcardiac arrest syndrome. The ability to return a patient to his or her prior state of health after cardiac arrest, once completely beyond the capacities of clinicians, is now one of the most important areas of medical science. Much of this ability depends on preserving the nervous system from a complicated sequence of secondary injuries, which ensue from global ischemia. RECENT FINDINGS: The International Liaison Committee On Resuscitation has recently given new direction to the care of patients after cardiac arrest by addressing the variety of medical problems encountered after resuscitation as a single postcardiac arrest syndrome. This paradigm centers on supportive care to optimize neurological outcomes and especially focuses on therapeutic hypothermia. SUMMARY: This study reviews the latest advances in treating patients after cardiac arrest in the emergency department and critical care unit environments.

Original languageEnglish (US)
Pages (from-to)118-124
Number of pages7
JournalCurrent opinion in critical care
Volume15
Issue number2
DOIs
StatePublished - Apr 1 2009

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Keywords

  • Cardiac arrest
  • Cardiopulmonary resuscitation
  • Neurological outcome
  • Postcardiac arrest syndrome
  • Therapeutic hypothermia

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine

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