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Critical Post-Arrest Interventions
- Critical interventions to optimize neurologic outcome in the post-cardiac arrest patient include optimizing hemodynamics, preventing lung injury, maintaining normal O2 and CO2 tensions, targeted temperature management, and treating the underlying cause of the arrest.
- Current guidelines recommend the following:
- Target MAP > 70 mm Hg with IVFs, vasopressors, and inotropes.
- Use a low tidal volume strategy of 6 to 8 ml/kg predicted body weight.
- Decrease FiO2 to maintain SpO2 94% to 97%.
- Adjust RR to maintain PaCO2 35 to 45 mm Hg
- Initiate TTM with the goal temperature between 32 to 36o C
References
Walker AC, Johnson NJ. Critical care of the post-cardiac arrest patient. Cardiol Clin. 2018; 36:419-428.