Post Arrest Care Flashcards
1
Q
Post-cardiac arrest syndrome: 4 key components
A
- Post-cardiac arrest brain injury
- Post-cardiac arrest myocardial dysfunction
- Systemic ischemia/ reperfusion response
- Persistent precipitating pathology
2
Q
Post-cardiac arrest brain injury: pathophysiology
A
- Impaired cerebrovascular autoregulation
- Cerebral edema
- Postischemic neurodegeneration
3
Q
Post-cardiac arrest brain injury: clinical manifestation
A
- Coma, seizures, myoclonus, Cognitive dysfunction, persistent vege state, secondary Parkinsonism, cortical/spinal stroke, brain death
4
Q
Post-cardiac arrest brain injury: Tx
A
Therapeutic hypothermia, early hemodynamic optimization, airway protection and mechanical vent., seizure control, controlled reoxygenation (SaO2 94-96%), supportive care