cardiac arrest

Cardiovascular

Fluid balance and outcome in cardiac arrest patients admitted to intensive care unit

Summary Renaudier et al. conducted a multicenter study to evaluate the impact of fluid balance on outcomes in patients admitted to intensive care units (ICUs) after out-of-hospital cardiac arrest (OHCA). The study found that a positive fluid balance was consistently associated with increased mortality, highlighting potential benefits of restrictive fluid management in this patient group. […]

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Fluid balance and outcome in cardiac arrest patients admitted to intensive care unit Read Post »

Mechanical Ventilation

Ten rules for optimizing ventilatory settings and targets in post-cardiac arrest patients

Summary of “Ten rules for optimizing ventilatory settings and targets in post-cardiac arrest patients” Abstract This review proposes ten evidence-based rules to optimize mechanical ventilation in post-cardiac arrest (CA) patients. It focuses on lung-protective strategies, the balance of ventilator settings, and their influence on systemic physiology—especially cerebral function. Emphasizing parameters such as tidal volume, plateau

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Ten rules for optimizing ventilatory settings and targets in post-cardiac arrest patients Read Post »

Circulatory

The predictive value of highly malignant EEG patterns after cardiac arrest: evaluation of the ERC-ESICM recommendations

Summary of The Predictive Value of Highly Malignant EEG Patterns After Cardiac Arrest: Evaluation of the ERC-ESICM Recommendations Abstract Highly malignant EEG patterns (HMEP), specifically suppression and burst-suppression, are recommended by the European Resuscitation Council (ERC) and the European Society of Intensive Care Medicine (ESICM) for predicting poor neurological outcomes after cardiac arrest. This study,

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The predictive value of highly malignant EEG patterns after cardiac arrest: evaluation of the ERC-ESICM recommendations Read Post »

Circulatory

Contemporary management of traumatic cardiac arrest and peri-arrest states: a narrative review

Abstract Trauma is a leading cause of death and disability worldwide across all age groups, with traumatic cardiac arrest (TCA) presenting a significant economic and societal burden due to the loss of productive life years. Despite TCA’s high mortality rate, recent evidence indicates that survival with good and moderate neurological recovery is possible. Successful resuscitation

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Contemporary management of traumatic cardiac arrest and peri-arrest states: a narrative review Read Post »

Circulatory

Extracorporeal cardiopulmonary resuscitation versus conventional cardiopulmonary resuscitation in adults with cardiac arrest: a comparative meta-analysis and trial sequential analysis

Summary Background Although outcomes of patients after cardiac arrest remain poor, studies have suggested that extracorporeal cardiopulmonary resuscitation (ECPR) might improve survival and neurological outcomes. We aimed to investigate any potential benefits of using ECPR over conventional cardiopulmonary resuscitation (CCPR) in patients with out-of-hospital cardiac arrest (OHCA) and in-hospital cardiac arrest (IHCA). Methods In this

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Extracorporeal cardiopulmonary resuscitation versus conventional cardiopulmonary resuscitation in adults with cardiac arrest: a comparative meta-analysis and trial sequential analysis Read Post »

Circulatory

Position paper for the organization of ECMO programs for cardiac failure in adults

Abstract Extracorporeal membrane oxygenation (ECMO) has been used increasingly for both respiratory and cardiac failure in adult patients. Indications for ECMO use in cardiac failure include severe refractory cardiogenic shock, refractory ventricular arrhythmia, active cardiopulmonary resuscitation for cardiac arrest, and acute or decompensated right heart failure. Evidence is emerging to guide the use of this

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Position paper for the organization of ECMO programs for cardiac failure in adults Read Post »

Circulatory

Post-resuscitation shock: recent advances in pathophysiology and treatment

Abstract A post-resuscitation shock occurs in 50–70% of patients who had a cardiac arrest. It is an early and transient complication of the post-resuscitation phase, which frequently leads to multiple-organ failure and high mortality. The pathophysiology of post-resuscitation shock is complex and results from the whole-body ischemia–reperfusion process provoked by the sequence of circulatory arrest,

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Post-resuscitation shock: recent advances in pathophysiology and treatment Read Post »

Circulatory, Mechanical Ventilation, Pharmacological Insights in Critical Care

Ventilation and Oxygenation During and After Adult Cardiopulmonary Resuscitation: Changing Paradigms

Abstract Cardiac arrest (CA) remains a major cause of death despite advancements in cardiopulmonary resuscitation (CPR), post-resuscitation care, and international efforts to develop evidence-based guidelines. Effectively managing ventilation and oxygenation during and after CPR is vital for patient survival and neurological outcomes, yet it remains a challenging task. This review examines current strategies for ventilation

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Ventilation and Oxygenation During and After Adult Cardiopulmonary Resuscitation: Changing Paradigms Read Post »

Circulatory

Post-Cardiac Arrest Care in Extracorporeal Cardiopulmonary Resuscitation

Abstract   OBJECTIVES: Extracorporeal cardiopulmonary resuscitation (ECPR) serves as a lifesaving intervention for patients experiencing refractory cardiac arrest. With its expanding usage, there’s a burgeoning focus on improving patient outcomes through optimal management in the acute phase after cannulation. This review explores systematic post-cardiac arrest management strategies, associated complications, and prognostication in ECPR patients. DATA

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