Book contents
- Intensive Care Medicine
- Intensive Care Medicine
- Copyright page
- Dedication
- Dedication
- Epigraph
- Contents
- Contributors
- Preface
- Foreword
- Abbreviations
- Section 1 Resuscitation and Management of the Acutely Ill Patient
- Introduction
- Chain of Survival
- Leadership
- Practical Leadership Issues
- Technical
- Special Circumstances
- Cessation of CPR
- National Audit and Training
- Introduction
- Post-cardiac Arrest Syndrome
- Airway and Breathing
- Circulation
- Disability
- Exposure
- Prognostication and Organ Donation
- Introduction
- Considerations When Triaging
- Admission to ICU Ideals
- Discharge Planning
- Department of Health Guidelines 2000/Updated Review 2011
- Introduction
- Pre-arrival Preparation
- The Primary Survey
- Secondary Survey
- Consideration for the Need to Transfer
- The Multiple Injured Patient – Early Total Care versus Damage Control Surgery
- Conclusion
- Assessment
- Estimating Burn Depth and % TBSA
- Severe Burns
- Initial Management
- Acknowledgements
- Definitions
- Planning
- Principles of Treatment in a Mass Casualty Incident
- Declaration of a Mass Casualty Incident
- Command and Control
- Preparing for Arrival of Casualties
- Lessons from Previous Incidents
- 1.1 General Introduction to the Recognition, Assessment and Stabilisation of the Acutely Ill Patient with Disordered Physiology
- 1.2 Management of Cardiopulmonary Resuscitation – Advanced Life Support
- 1.3 Principles of Management of the Patient Post-resuscitation
- 1.4 Principles of Triaging and Prioritising Patients Appropriately, Including Timely Admission to ICU
- 1.5 Initial Assessment and Management of the Trauma Patient
- 1.6 Principles of Assessment and Initial Management of the Patient with Burns
- 1.7 Description and Management of Mass Casualties
- Section 2 Diagnosis, Assessment, Investigation, Monitoring and Data Interpretation
- Domain 3 Disease Management: Recognition, Causes and Management
- Section 4 Therapeutic Interventions and Organ Support
- Domain 5 Practical Procedures
- Section 6 Perioperative Care
- Section 7 Comfort and Recovery
- Section 8 End-of-Life Care
- Section 9 Paediatric Care
- Section 10 Transport
- Section 11 Professionalism, Patient Safety, Governance and Health Systems Management
- Index
- References
1.3 - Principles of Management of the Patient Post-resuscitation
from Section 1 - Resuscitation and Management of the Acutely Ill Patient
Published online by Cambridge University Press: 27 July 2023
By
Book contents
- Intensive Care Medicine
- Intensive Care Medicine
- Copyright page
- Dedication
- Dedication
- Epigraph
- Contents
- Contributors
- Preface
- Foreword
- Abbreviations
- Section 1 Resuscitation and Management of the Acutely Ill Patient
- Introduction
- Chain of Survival
- Leadership
- Practical Leadership Issues
- Technical
- Special Circumstances
- Cessation of CPR
- National Audit and Training
- Introduction
- Post-cardiac Arrest Syndrome
- Airway and Breathing
- Circulation
- Disability
- Exposure
- Prognostication and Organ Donation
- Introduction
- Considerations When Triaging
- Admission to ICU Ideals
- Discharge Planning
- Department of Health Guidelines 2000/Updated Review 2011
- Introduction
- Pre-arrival Preparation
- The Primary Survey
- Secondary Survey
- Consideration for the Need to Transfer
- The Multiple Injured Patient – Early Total Care versus Damage Control Surgery
- Conclusion
- Assessment
- Estimating Burn Depth and % TBSA
- Severe Burns
- Initial Management
- Acknowledgements
- Definitions
- Planning
- Principles of Treatment in a Mass Casualty Incident
- Declaration of a Mass Casualty Incident
- Command and Control
- Preparing for Arrival of Casualties
- Lessons from Previous Incidents
- 1.1 General Introduction to the Recognition, Assessment and Stabilisation of the Acutely Ill Patient with Disordered Physiology
- 1.2 Management of Cardiopulmonary Resuscitation – Advanced Life Support
- 1.3 Principles of Management of the Patient Post-resuscitation
- 1.4 Principles of Triaging and Prioritising Patients Appropriately, Including Timely Admission to ICU
- 1.5 Initial Assessment and Management of the Trauma Patient
- 1.6 Principles of Assessment and Initial Management of the Patient with Burns
- 1.7 Description and Management of Mass Casualties
- Section 2 Diagnosis, Assessment, Investigation, Monitoring and Data Interpretation
- Domain 3 Disease Management: Recognition, Causes and Management
- Section 4 Therapeutic Interventions and Organ Support
- Domain 5 Practical Procedures
- Section 6 Perioperative Care
- Section 7 Comfort and Recovery
- Section 8 End-of-Life Care
- Section 9 Paediatric Care
- Section 10 Transport
- Section 11 Professionalism, Patient Safety, Governance and Health Systems Management
- Index
- References
Summary
Key Learning Points
1. The post-cardiac arrest syndrome is composed of: persistent precipitating pathology, post-cardiac arrest brain injury, post-cardiac arrest myocardial dysfunction and the systemic ischaemic/reperfusion response.
2. Hyperoxia and hypocapnia should be avoided post-return of spontaneous circulation, and oxygen saturations should be titrated to 94–98 per cent.
3. Inotropic support is commonly necessary to support adequate urine output and reducing plasma lactate levels.
4. Targeted temperature management is an important tool in improving outcomes for all cardiac arrest patients who remain unresponsive post-arrest.
5. Post-prognostication is an important opportunity for organ donation evaluation.
- Type
- Chapter
- Information
- Intensive Care MedicineThe Essential Guide, pp. 6 - 8Publisher: Cambridge University PressPrint publication year: 2021
References
References and Further Reading
Nielsen, N, Wetterslev, J, Cronberg, T, et al. Targeted temperature management at 33 degrees C versus 36 degrees C after cardiac arrest. N Engl J Med 2013;369:2197–206.CrossRefGoogle Scholar
Resuscitation Council UK. Advanced Life Support, 7th edn. London: Resuscitation Council UK; 2016.Google Scholar
Sandroni, C, Cariou, A, Cavallaro, F, et al. Prognostication in comatose survivors of cardiac arrest: an advisory statement from the European Resuscitation Council and the European Society of Intensive Care Medicine. Resuscitation 2014;85:1779–89.CrossRefGoogle ScholarPubMed