Mar 9, 2005

Management following resuscitation from cardiac arrest: recommendations from the 2003 Rocky Mountain Critical Care Conference

Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie
Dean D BellDavid Zygun


To propose a strategy for the management of patients admitted to critical care units after resuscitation from cardiac arrest. Prior to the conference relevant studies were identified via literature searches and brief reviews circulated on the following topics: glucose and blood pressure management; therapeutic hypothermia; prearrest outcome prediction; post-arrest outcome prediction; and management of myocardial ischemia. Two days were devoted to assessing evidence and developing a management strategy at the conference. Consensus opinion of conference participants [intensive care unit (ICU) physicians] was used when high grade evidence was unavailable. Additional literature searches and data grading were performed post-conference. High grade evidence was lacking in most areas. Specific goals of treatment were proposed for: general care; neurologic care; respiratory care; cardiac care; and gastrointestinal care. There was adequate evidence to recommend therapeutic hypothermia for comatose patients who had witnessed ventricular fibrillation or ventricular tachycardia arrests. Conference participants supported extending therapeutic hypothermia to other presenting rhythms in selected circumstances. Additional goals included mean ar...Continue Reading

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Mentioned in this Paper

Arterial Pulse Pressure
Care of Intensive Care Unit Patient
Ventricular Fibrillation
Diastolic Blood Pressure
Myocardial Ischemia
Coronary Arteriosclerosis
Nutritional Support
Tachycardia, Ventricular

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