Post Resus Care

Question 1

Post-cardiac arrest syndrome (4)

Answer 1

Post cardiac arrest brain injury
Post cardiac arrest myocardial dysfunction
Systemic ischaemia/repurfusion response
Persisting precipitating pathology

Question 2

Manifestations of post-cardiac arrest brain injury

Answer 2

Seizure coma myoclonus neuro cognitive dysfunction brain death

Question 3

Things that could worsen post arrest braking injury

Answer 3

Microcirculatory failure
Impaired auto regulation
Hypotension
Hypercarbia
Hypoxaemia/hyperoxaemia
Pyrexia
Hypo/hyper-glycaemia
Seizures

Question 4

Post resus investigations

Answer 4

Angio PCI (early if STEMI, or delayed)
CT brain
CTPA

Question 5

ICU management

Answer 5

Targeted temp management (32-36)
Prevent pyrexia
Maintain normal oxygen and co2
Avoid hypotension
ECHO
Maintain normoglycaemia
Diagnose/treat seizures

Question 6

Typical ABG post resus

Answer 6

Mixed resp and metabolic acidosis

Question 7

Physiological effects of TTM

Answer 7

Shivering
Arrhythmias
Increased infection rates
Hyperglycaemia
Diuresis and electrolyte imbalance
Impaired coag
Increased amylase
Reduced drug clearance