Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2014 Jan-Feb;66 Suppl 1(Suppl 1):S105-12.
doi: 10.1016/j.ihj.2013.12.028. Epub 2014 Jan 10.

Post-resuscitation care for survivors of cardiac arrest

Ashvarya Mangla  1 , Mohamud R Daya  2 , Saurabh Gupta  3
Affiliations
Review

Post-resuscitation care for survivors of cardiac arrest

Ashvarya Mangla et al. Indian Heart J. 2014 Jan-Feb.

Abstract

Cardiac arrest can occur following a myriad of clinical conditions. With advancement of medical science and improvements in Emergency Medical Services systems, the rate of return of spontaneous circulation for patients who suffer an out-of-hospital cardiac arrest (OHCA) continues to increase. Managing these patients is challenging and requires a structured approach including stabilization of cardiopulmonary status, early consideration of neuroprotective strategies, identifying and managing the etiology of arrest and initiating treatment to prevent recurrence. This requires a closely coordinated multidisciplinary team effort. In this article, we will review the initial management of survivors of OHCA, highlighting advances and ongoing controversies.

Keywords: Out-of-hospital cardiac arrest; PCI; Post-resuscitation care; Return of spontaneous circulation; Therapeutic hypothermia.

PubMed Disclaimer

Figures

Fig. 1
Fig. 1
Algorithm highlighting the important pathways involved in caring for patient with ROSC post-cardiac arrest. ROSC – return of spontaneous circulation; CAB – circulation, airway, breathing; ECG – electrocardiogram; iv – intravenous, SBP – systolic blood pressure; MAP – mean arterial pressure; PCI – percutaneous coronary intervention; ET – endotracheal; K – potassium; Ed – Emergency Department, ICU – intensive care unit. * Can keep FIO2 of 100% in case of carbon monoxide or cyanide poisoning.
See this image and copyright information in PMC

References

    1. Neumar R.W., Nolan J.P., Adrie C. Post-cardiac arrest syndrome: epidemiology, pathophysiology, treatment, and prognostication. A consensus statement from the International Liaison Committee on Resuscitation (American Heart Association, Australian and New Zealand Council on Resuscitation, European Resuscitation Council, Heart and Stroke Foundation of Canada, InterAmerican Heart Foundation, Resuscitation Council of Asia, and the Resuscitation Council of Southern Africa); the American Heart Association Emergency Cardiovascular Care Committee; the Council on Cardiovascular Surgery and Anesthesia; the Council on Cardiopulmonary, Perioperative, and Critical Care; the Council on Clinical Cardiology; and the Stroke Council. Circulation. 2008;118:2452–2483. - PubMed
    1. Safar P. Resuscitation from clinical death: pathophysiologic limits and therapeutic potentials. Crit Care Med. 1988;16:923–941. - PubMed
    1. Sunde K., Pytte M., Jacobsen D. Implementation of a standardised treatment protocol for post resuscitation care after out-of-hospital cardiac arrest. Resuscitation. 2007;73:29–39. - PubMed
    1. Nichol G., Aufderheide T.P., Eigel B. Regional systems of care for out-of-hospital cardiac arrest: a policy statement from the American Heart Association. Circulation. 2010;121:709–729. - PubMed
    1. Callaway C.W., Schmicker R., Kampmeyer M. Receiving hospital characteristics associated with survival after out-of-hospital cardiac arrest. Resuscitation. 2010;81:524–529. - PMC - PubMed