TY - JOUR
T1 - Emergency Neurological Life Support
T2 - Resuscitation Following Cardiac Arrest
AU - Rittenberger, Jon C.
AU - Friess, Stuart
AU - Polderman, Kees H.
PY - 2015/12/1
Y1 - 2015/12/1
N2 - Cardiac arrest is the most common cause of death in North America. Neurocritical care interventions, including targeted temperature management (TTM), have significantly improved neurological outcomes in patients successfully resuscitated from cardiac arrest. Therefore, resuscitation following cardiac arrest was chosen as an emergency neurological life support protocol. Patients remaining comatose following resuscitation from cardiac arrest should be considered for TTM. This protocol will review induction, maintenance, and re-warming phases of TTM, along with management of TTM side effects. Aggressive shivering suppression is necessary with this treatment to ensure the maintenance of a target temperature. Ancillary testing, including electrocardiography, computed tomography and/or magnetic resonance imaging of the brain, continuous electroencephalography monitoring, and correction of electrolyte, blood gas, and hematocrit changes, are also necessary to optimize outcomes.
AB - Cardiac arrest is the most common cause of death in North America. Neurocritical care interventions, including targeted temperature management (TTM), have significantly improved neurological outcomes in patients successfully resuscitated from cardiac arrest. Therefore, resuscitation following cardiac arrest was chosen as an emergency neurological life support protocol. Patients remaining comatose following resuscitation from cardiac arrest should be considered for TTM. This protocol will review induction, maintenance, and re-warming phases of TTM, along with management of TTM side effects. Aggressive shivering suppression is necessary with this treatment to ensure the maintenance of a target temperature. Ancillary testing, including electrocardiography, computed tomography and/or magnetic resonance imaging of the brain, continuous electroencephalography monitoring, and correction of electrolyte, blood gas, and hematocrit changes, are also necessary to optimize outcomes.
KW - Brain cooling
KW - Cardiac arrest
KW - Hypothermia
KW - Myocardial infarction
KW - Sudden death
KW - Temperature management
UR - http://www.scopus.com/inward/record.url?scp=84947127821&partnerID=8YFLogxK
U2 - 10.1007/s12028-015-0171-4
DO - 10.1007/s12028-015-0171-4
M3 - Review article
C2 - 26438463
AN - SCOPUS:84947127821
VL - 23
SP - 119
EP - 128
JO - Neurocritical Care
JF - Neurocritical Care
SN - 1541-6933
ER -