Post Cardiac Arrest Care in the Cardiac Intensive Care Unit

Daniel Gonzalez, Garima Dahiya, Pornthira Mutirangura, Tesfatsiyon Ergando, Gregory Mello, Rahul Singh, Oladi Bentho, Andrea M. Elliott

Research output: Contribution to journalReview articlepeer-review

Abstract

Purpose of Review: Cardiac arrests constitute a leading cause of mortality in the adult population and cardiologists are often tasked with the management of patients following cardiac arrest either as a consultant or primary provider in the cardiac intensive care unit. Familiarity with evidence-based practice for post-cardiac arrest care is a requisite for optimizing outcomes in this highly morbid group. This review will highlight important concepts necessary to managing these patients. Recent Findings: Emerging evidence has further elucidated optimal care of post-arrest patients including timing for routine coronary angiography, utility of therapeutic hypothermia, permissive hypercapnia, and empiric aspiration pneumonia treatment. Summary: The complicated state of multi-organ failure following cardiac arrest needs to be carefully optimized by the clinician to prevent further neurologic injury and promote systemic recovery. Future studies should be aimed at understanding if these findings extend to specific patient populations, especially those at the highest risk for poor outcomes.

Original languageEnglish (US)
Pages (from-to)35-49
Number of pages15
JournalCurrent Cardiology Reports
Volume26
Issue number2
DOIs
StatePublished - Feb 2024

Bibliographical note

Publisher Copyright:
© The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2024. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Keywords

  • Cardiac arrest
  • Intensive care unit
  • Neuro-prognostication
  • Outcomes
  • Post arrest care
  • Targeted temperature management

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