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Emerg. Med. Clin. North Am. · Aug 2019
ReviewTargeted Temperature Management and Postcardiac arrest Care.
- Amy C Walker and Nicholas J Johnson.
- Department of Emergency Medicine, University of Washington, Seattle, WA, USA. Electronic address: acw20@uw.edu.
- Emerg. Med. Clin. North Am. 2019 Aug 1; 37 (3): 381-393.
AbstractDespite recent advances, care of the post-cardiac arrest patient remains a challenge. In this article, the authors discuss an approach to the initial care of post-cardiac arrest patients with particular focus on targeted temperature management (TTM). The article starts with history, physiologic rationale, and the major randomized controlled trials that have shaped guidelines for post-cardiac arrest care. It also reviews controversial topics, including TTM for nonshockable rhythms, TTM dose, and surface versus endovascular cooling. The article concludes with a brief review of other key aspects of post-arrest care: coronary angiography, hemodynamic optimization, ventilator management, and prognostication.Copyright © 2019 Elsevier Inc. All rights reserved.
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