2024年6月2日 · MAP goal: >65 mm or up to >80 mm (individualize). [1] Recurrent ventricular tachycardia or abundant ectopy. [2] VT/VF arrest pending catheterization (as a bridge to revascularization). [3] Persistent HTN: consider beta-blocker. Consider stress-dose steroid for shock (e.g., 50 mg hydrocortisone IV q6hr).

2010年11月2日 · There is increasing recognition that systematic post–cardiac arrest care after return of spontaneous circulation (ROSC) can improve the likelihood of patient survival with good quality of life.

2008年10月23日 · In 1 human study, hypertension (MAP >100 mm Hg) during the first 5 minutes after ROSC was not associated with improved neurological outcome 50; however, MAP during the first 2 hours after ROSC was positively correlated with neurological outcome.

2015年11月3日 · One observational study found that mean arterial pressure (MAP) greater than 100 mm Hg during 2 hours after ROSC was associated with better neurologic recovery at hospital discharge. 33 Another observational study found that survivors, compared with nonsurvivors, had higher MAP at 1 hour (96 versus 84 mm Hg) and at 6 hours (96 versus 90 mm Hg). 34

post-ROSC phase, and many of these activities can occur concurrently. However, if prioritization is necessary, follow these steps: • Airway management: Waveform capnography or capnometry to confirm and monitor endotracheal tube placement • Manage respiratory parameters: Titrate F io 2 for Sp o 2 92%-98%; start at 10 breaths/min; titrate to ...

Return of spontaneous circulation (ROSC) is defined as “the resumption of sustained perfusing cardiac activity associated with significant respiratory effort after cardiac arrest.” Team members continuously assess for ROSC by observing the patient’s color, any movement, respiratory effort, and by frequently checking for a pulse.

Target mean arterial pressure (MAP) to achieve adequate urine output (> 0.5 mL kg-1 h-1) and normal or decreasing lactate. Maintain perfusion with fluids, noradrenaline and/or dobutamine, depending on individual patient need for intravascular volume, vasoconstriction or inotropy.

TTM which was previously called therapeutic hypothermia is the only intervention that has been shown to improve neurological outcomes after cardiac arrest. Induced hypothermia should occur soon after ROSC (return of spontaneous circulation). The decision point for the use of therapeutic hypothermia is whether or not the patient can follow commands.

2020年11月3日 · — target MAP>70; some experts target >80 to ensure adequate CPP and other experts (such as Steve Bernard) advocate SBP >120 mmHg; PREDICTION OF NON-SURVIVORS. Prognosticate on day 5; see Prognosis After Cardiac Arrest (includes neurological prognostication protocol from TTM trial) References and …

2017年10月28日 · Circulation: For optimal cerebral perfusion post-ROSC, the MAP goal is controversial; some advocate for > 80 mm Hg. If patient is in shock after ROSC, add norepi or epi +/- dobutamine (if cardiogenic shock component present). An A-line (some place this during code) and central line can assist.