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Post Cardiac Arrest Care


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1 Baby Memorial College of Nursing, Kozhikose, Kerala, India
     

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Resumption of spontaneous circulation (ROSC) after prolonged, complete, whole-body ischemia creates a pathophysiological state following successful cardiopulmonary resuscitation. The components of post cardiac arrest syndrome comprise post cardiac arrest brain injury, myocardial dysfunction, systemic ischemia/reperfusion response and persistent precipitating pathology. So a comprehensive, structured, multidisciplinary system of care should be implemented in a consistent manner for the treatment among eligible post- cardiac arrest patients. Management of post cardiac arrest care include initial stabilization, general and specific intensive care and monitoring, hemodynamic optimization, circulatory and respiratory support, urgent angioplasty and percutaneous coronary intervention, optimizing neurological recovery include therapeutic hypothermia, sedation and neuromuscular support, seizure control, glycemic control, and neurological, physical and cardiac rehabilitation restore normal functioning for survivors.

Keywords

Spontaneous Circulation, Cardiac Arrest, Post Cardiac Arrest Syndrome, Survivor.
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  • Post Cardiac Arrest Care

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Authors

K. R. Ramya
Baby Memorial College of Nursing, Kozhikose, Kerala, India

Abstract


Resumption of spontaneous circulation (ROSC) after prolonged, complete, whole-body ischemia creates a pathophysiological state following successful cardiopulmonary resuscitation. The components of post cardiac arrest syndrome comprise post cardiac arrest brain injury, myocardial dysfunction, systemic ischemia/reperfusion response and persistent precipitating pathology. So a comprehensive, structured, multidisciplinary system of care should be implemented in a consistent manner for the treatment among eligible post- cardiac arrest patients. Management of post cardiac arrest care include initial stabilization, general and specific intensive care and monitoring, hemodynamic optimization, circulatory and respiratory support, urgent angioplasty and percutaneous coronary intervention, optimizing neurological recovery include therapeutic hypothermia, sedation and neuromuscular support, seizure control, glycemic control, and neurological, physical and cardiac rehabilitation restore normal functioning for survivors.

Keywords


Spontaneous Circulation, Cardiac Arrest, Post Cardiac Arrest Syndrome, Survivor.