10. Post resuscitation care

Question 1

What is the aim of post resuscitation care?

Answer 1

To restore oxygenation and perfusion to vital organs as quick as possible

Question 2

What are possible complications a child can suffer after tracheal intubation?

Answer 2

DOPES!
displacement of tracheal tube into oesophagus or R main bronchus
obstruction of the artificial airway (secretions)
Pneumothorax (excessive BMV pressure of rib # from compressions)
Equipment failure (oxygen disconnected)
Stomach distension

Question 3

In post resus state, what urine output should you aim for in infants?

Answer 3

> 2 ml per kg per hour

Question 4

In post resus state, what urine output should you aim for in children?

Answer 4

> 1 ml per kg per hour

Question 5

What other parameters are important to control?

Answer 5

Temperature
Blood sugar
Blood pressure

Question 6

What are the post resus investigations you might ask for?

Answer 6

Biochemistry, FBC, lactate, glucose
CXR
ABG
CT head?