Post cardiac arrest care

Treatment

1. Maintain perfusion (cerebral)
   1. Tx hypotension
   2. ignore HTN
   3. normal PaCO2 (~40)
2. Normoxia
   1. PaO2 80-120
3. Mild Hypothermia (except in trauma)
   1. 32-34 deg C for 12-24 hrs
   2. aggresivly Tx hyperthermia (acetamin)
   3. prevent shivering (meperidine, buspirone, and/or dexmetomidine)
4. Aggressively Tx hyperglycemia
   1. no IVFs with glucose
   2. RISS
5. Aggressive Seizure Tx
   1. prophylaxis unproven
6. Minimize Irritation
   1. sedatives +/- paralytics
   2. supine flat

Source

2/17/06 DONALDSON (adapted from Rosen)