Post-Resuscitation Care & Recovery Flashcards
7 cards from real ECC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Post-Resuscitation Care & Recovery flashcards as text
Which hemodynamic target is recommended for mean arterial pressure (MAP) in post-cardiac arrest patients to ensure adequate cerebral perfusion?
Answer: ≥65 mmHg
Current guidelines recommend maintaining a MAP of ≥65 mmHg post-resuscitation, though some centers target higher values based on patient response.
A post-resuscitation patient develops a temperature of 38.6°C at 18 hours. What is the recommended management according to TTM guidelines?
Answer: Actively prevent fever with antipyretics or cooling
Post-resuscitation fever is harmful to the ischemic brain, so current TTM trials support actively preventing fever (≥37.7–38°C) for at least 72 hours.
Which arterial blood gas finding is MOST detrimental to neurological recovery in post-cardiac arrest patients?
Answer: PaO2 of 60 mmHg (hypoxia)
Hypoxia (low PaO2) causes secondary brain injury and worsens neurological outcomes after cardiac arrest.
After ROSC, a 12-lead ECG shows ST-elevation in leads II, III, and aVF. What is the recommended next step?
Answer: Emergent coronary angiography
ST-elevation after ROSC indicates likely STEMI and requires immediate coronary angiography regardless of neurological status.
Which EEG pattern is MOST predictive of poor neurological outcome after cardiac arrest?
Answer: Burst suppression with identical bursts (malignant pattern)
Burst suppression with stereotyped (identical) bursts is a malignant EEG pattern strongly associated with poor neurological outcome.
When is the earliest recommended time to perform neuroprognostication after cardiac arrest in a patient who received TTM?
Answer: 72 hours after ROSC
Neuroprognostication should not occur before 72 hours after ROSC to allow sedative/analgesic clearance and full neurological examination.
Which finding on somatosensory evoked potentials (SSEPs) is a reliable predictor of poor neurological outcome post-cardiac arrest?
Answer: Bilateral absence of N20 cortical response
Bilateral absence of N20 cortical SSEPs is one of the most reliable predictors of poor outcome in comatose post-cardiac arrest survivors.