Current evidence on post-resuscitation care suffers from important knowledge gaps on new treatments and prognostication, mainly because of the lack of large multicenter randomized trials. However, optimization of post-resuscitation care is crucial, and the establishment of a treatment easy to be accepted and implemented locally, based on currently available evidence, is advisable. The present article is a multisociety experts' opinion on post-cardiac arrest that aims (i) to provide schematic and clear suggestions on therapeutic interventions to be delivered following resuscitation from cardiac arrest, so as to implement local protocols with a standardized post-resuscitation care; (ii) to suggest post-resuscitation therapeutic interventions that may result in improved survival with good neurological recovery, intended as a Cerebral Performance Category (CPC) score of 1-2; and finally (iii) to propose a pragmatic and schematic approach to post-resuscitation care for rapid initiation of intensive treatments (i.e. temperature management). The suggestions reported in this document are intended for adult patients resuscitated from both out-ofhospital and in-hospital cardiac arrest. They should be considered solely as an experts' opinion aimed to improve post-cardiac arrest care and they do not represent an official national guideline.

Implementazione del trattamento post-rianimazione da arresto cardiaco nell'adulto - Opinione di un panel di esperti [Implementation of post-resuscitation care in adult cardiac arrest patients : Experts’ opinion] / T. Pellis, G. Ristagno, F. Semeraro, N. Grieco, A. Fabbri, M. Balzanelli, E. Berruto, A. Scapigliati, M. Sciretti, E. Cerchiari. - In: GIORNALE ITALIANO DI CARDIOLOGIA. - ISSN 1827-6806. - 16:7(2015 Aug), pp. 442-455. [10.1714/1954.21250]

Implementazione del trattamento post-rianimazione da arresto cardiaco nell'adulto - Opinione di un panel di esperti [Implementation of post-resuscitation care in adult cardiac arrest patients : Experts’ opinion]

G. Ristagno
Secondo
;
2015-08

Abstract

Current evidence on post-resuscitation care suffers from important knowledge gaps on new treatments and prognostication, mainly because of the lack of large multicenter randomized trials. However, optimization of post-resuscitation care is crucial, and the establishment of a treatment easy to be accepted and implemented locally, based on currently available evidence, is advisable. The present article is a multisociety experts' opinion on post-cardiac arrest that aims (i) to provide schematic and clear suggestions on therapeutic interventions to be delivered following resuscitation from cardiac arrest, so as to implement local protocols with a standardized post-resuscitation care; (ii) to suggest post-resuscitation therapeutic interventions that may result in improved survival with good neurological recovery, intended as a Cerebral Performance Category (CPC) score of 1-2; and finally (iii) to propose a pragmatic and schematic approach to post-resuscitation care for rapid initiation of intensive treatments (i.e. temperature management). The suggestions reported in this document are intended for adult patients resuscitated from both out-ofhospital and in-hospital cardiac arrest. They should be considered solely as an experts' opinion aimed to improve post-cardiac arrest care and they do not represent an official national guideline.
Cardiac arrest; Prognostication; Resuscitation; Temperature
Settore MED/41 - Anestesiologia
Article (author)
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/2434/620117
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