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.

中文翻译：

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心脏重症监护病房的心脏骤停后护理

摘要

审查目的

心脏骤停是成年人死亡的主要原因，心脏病专家经常在心脏重症监护病房担任顾问或主要提供者，负责管理心脏骤停后的患者。熟悉心脏骤停后护理的循证实践是优化这一高发病率群体的结果的必要条件。本综述将强调管理这些患者所需的重要概念。

最近的发现

新出现的证据进一步阐明了逮捕后患者的最佳护理，包括常规冠状动脉造影的时机、治疗性低温、允许性高碳酸血症和经验性吸入性肺炎治疗的效用。

概括

心脏骤停后多器官衰竭的复杂状态需要临床医生仔细优化，以防止进一步的神经损伤并促进全身恢复。未来的研究应旨在了解这些发现是否适用于特定患者群体，尤其是那些预后不良风险最高的患者群体。