Post-Resuscitation Care Flashcards

A post-arrest patient develops a mean arterial pressure (MAP) of 55 mmHg. What is the recommended MAP target?

Answer: Above 65 mmHg

A MAP ≥65 mmHg is the minimum recommended target to ensure adequate organ perfusion after cardiac arrest.

When is neuroprognostication typically considered reliable after cardiac arrest?

Answer: At least 72 hours after ROSC (or after rewarming)

Neuroprognostication should not occur before 72 hours post-ROSC (or after rewarming) because sedatives and hypothermia can confound findings.

Which of the following is a POOR prognostic indicator for neurological recovery post-cardiac arrest?

Answer: Bilaterally absent N20 SSEP waves

Bilaterally absent N20 somatosensory evoked potential waves at ≥72 hours strongly predict poor neurological outcome.

Post-cardiac arrest syndrome (PCAS) includes which combination of conditions?

Answer: Brain injury, myocardial dysfunction, systemic ischemia/reperfusion response, and persistent precipitating pathology

PCAS encompasses brain injury, myocardial dysfunction, systemic ischemia/reperfusion response, and the underlying cause of arrest.

Which vasopressor is most commonly used to treat post-resuscitation hypotension?

Answer: Norepinephrine

Norepinephrine is the preferred vasopressor for maintaining MAP ≥65 mmHg in post-cardiac arrest shock.

A patient resuscitated from cardiac arrest develops seizures. What is the recommended management?

Answer: Treat seizures with antiepileptic medications

Post-arrest seizures increase cerebral metabolic demand and worsen outcomes; they should be treated promptly with antiepileptic drugs.

What does 'post-cardiac arrest myocardial dysfunction' typically involve?

Answer: Transient global ventricular dysfunction that usually recovers within 48–72 hours

Post-arrest myocardial stunning is transient and typically improves within 2–3 days with appropriate hemodynamic support.