Title: Post-Arrest Interventions That Make A Difference<br/>Author: Mike Winters<br/><a href='http://umem.org/profiles/faculty/141/'>[Click to email author]</a><hr/><p>
<strong><u>Critical Post-Arrest Interventions</u></strong></p>
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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.</li>
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Current guidelines recommend the following:
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Target <strong>MAP > 70 mm Hg</strong> with IVFs, vasopressors, and inotropes.</li>
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Use a low tidal volume strategy of <strong>6 to 8 ml/kg predicted body weight</strong>.</li>
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Decrease FiO2 to maintain <strong>SpO2 94% to 97%</strong>.</li>
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Adjust RR to maintain <strong>PaCO2 35 to 45 mm Hg</strong></li>
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Initiate TTM with the goal temperature between <strong>32 to 36<sup>o</sup> C</strong></li>
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<fieldset><legend>References</legend>
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Walker AC, Johnson NJ. Critical care of the post-cardiac arrest patient. <em>Cardiol Clin</em>. 2018; 36:419-428.</p>
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