Post-arrest management

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Temperature management and modern post-cardiac arrest care.

Modern cardiopulmonary resuscitation (CPR) began in 1960, when clinicians translated observations about external chest compressions from the laboratory to patients.1 CPR increased survival for patients who had cardiopulmonary collapse outside of the operating room from none to a few. Incremental improvements in the survivorship from CPR occurred as more persons were trained in CPR and as defibr...

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Cooling techniques for targeted temperature management post-cardiac arrest

This article is one of ten reviews selected from the Annual Update in Intensive Care and Emergency Medicine 2015 and co-published as a series in Critical Care. Other articles in the series can be found online at http://ccforum.com/series/annualupdate2015. Further information about the Annual Update in Intensive Care and Emergency Medicine is available from http://www.springer.com/series/8901.

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Tissue Post Cardiac Arrest

Hypoperfusion to the gut during cardiac arrest is an important clinical problem. The inability to control pH during metabolic stress, e.g. ischemia, leads to the disruption or halting of processes vital to balancing cellular metabolism. Alterations in cellular pH have been linked to changes in intramucosal permeability, which may result in the leakage of inflammatory mediators or bacteria, or b...

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Post-cooling fever in post-cardiac arrest patients: post-cooling normothermia as part of target temperature management?

Experimental studies support that fever after ischaemic brain injury may not only be a surrogate marker for severe cerebral ischaemia but may also deteriorate pre-existent cerebral ischaemic damage and should therefore be treated [1,2]. Neurological damage after cardiac arrest (CA) still determines the final outcome and post-CA critical care focuses on maximal neuroprotection, the application o...

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Cardiac Arrest Management

The treatment of cardiac arrest has made significant progress over the last 10–15 years. This period marks a significant turning point, because the treatment of out-of-hospital cardiac arrest (OHCA) had often been considered an exercise in futility, with no improvement in outcome for the previous 30 years (Berdowski et al. 2010). In recent years, several investigators have documented marked imp...

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ژورنال

عنوان ژورنال: Qatar Medical Journal

سال: 2017

ISSN: 2227-0426

DOI: 10.5339/qmj.2017.swacelso.31