The pathophysiology of postcardiac arrest syndrome is complex and remains partially understood figure figure1. European resuscitation council and european society of intensive. Pdf the european resuscitation council and the european society of intensive care medicine have collaborated to produce. Postcardiac arrest syndrome postresuscitation syndrome. Management of postcardiac arrest syndrome acute and critical care. European resuscitation council and european society of. Final wording of science statements and treatment recommendations was. Resuscitation and postresuscitation care are frequently delivered where there is. Postcardiac arrest syndrome is a unique and complex combination of. The acquisition of magnetic resonance imaging studies is. Vasopressors such as norepinephrine and dobutamine are the firstline treatment for shock.
Lanceadams syndrome is an important but rare differential. Dystonia is a group of movement disorders that vary in their symptoms, causes, progression, and treatments. It is best to combine written information with the possibility for personal consultation. Effect of cyclosporine in nonshockable outofhospital cardiac. The postcardiac arrest syndrome comprises postcardiac. But getting back to topic, postcardiac arrest syndrome is a welldescribed collection of organ system malfunctions which occur together after a period of global ischaemia. The purpose of the algorithm is to aid the clinician to combine the various. Ultrasound improves the outcomes of cardiopulmonary resuscitation. This syndrome, called the post cardiac arrest syndrome, comprises anoxic brain injury, post cardiac arrest myocardial dysfunction, systemic ischemiareperfusion response, and persistent precipitating pathology 3,4.
It seems, however, dominated by a global ischemiareperfusion phenomenon affecting all organs and a nonspecific activation of the systemic inflammatory response. The postcardiac arrest syndrome comprises postcardiac arrest brain injury. Postcardiac arrest syndrome international liaison committee on. Postcardiac arrest syndrome litfl ccc differential. Pdf european resuscitation council and european society of. On admission to critical care a treatment bundle to optimise recovery is initiated. Meige syndrome nord national organization for rare. Managing merger syndrome is not about trying to eliminate it, but about helping people manage its sources and symptoms. Sepsis is a cause of cardiac arrest, acute respiratory dis tress syndrome ards, and multiple organ failure.
Postcardiac arrest syndrome circulation aha journals. Thus, there is a predisposition for exacerbation of postcardiac arrest syndrome when cardiac arrest occurs in the setting of sepsis. Epidemiology, pathophysiology, treatment, and prognostication a consensus statement. Merger syndrome is perfectly normal, and to be expected even in the best planned and carefully managed integrations. Post resuscitation care is an evolving science that requires a wellcoordinated multidisciplinary effort with participation of physicians from the disciplines of emergency medicine, critical and intensive care, nursing, cardiology and anaesthesiology, at the very least.
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