General Critical Care, Temperature Control, and End-of-Life Decision Making in Patients Resuscitated from Cardiac Arrest
Cardiac arrest affects millions of people per year worldwide. Although advances in cardiopulmonary resuscitation and intensive care have improved outcomes over time, neurologic impairment and multiple organ dysfunction continue to be associated with a high mortality rate. The pathophysiologic mechan...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-06-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/12/12/4118 |
| _version_ | 1797594078916902912 |
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| author | Athanasios Chalkias Georgios Adamos Spyros D. Mentzelopoulos |
| author_facet | Athanasios Chalkias Georgios Adamos Spyros D. Mentzelopoulos |
| author_sort | Athanasios Chalkias |
| collection | DOAJ |
| description | Cardiac arrest affects millions of people per year worldwide. Although advances in cardiopulmonary resuscitation and intensive care have improved outcomes over time, neurologic impairment and multiple organ dysfunction continue to be associated with a high mortality rate. The pathophysiologic mechanisms underlying the post-resuscitation disease are complex, and a coordinated, evidence-based approach to post-resuscitation care has significant potential to improve survival. Critical care management of patients resuscitated from cardiac arrest focuses on the identification and treatment of the underlying cause(s), hemodynamic and respiratory support, organ protection, and active temperature control. This review provides a state-of-the-art appraisal of critical care management of the post-cardiac arrest patient. |
| first_indexed | 2024-03-11T02:18:38Z |
| format | Article |
| id | doaj.art-a61a51ccb4d24fd3a0f55b53f13a5b68 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-11T02:18:38Z |
| publishDate | 2023-06-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-a61a51ccb4d24fd3a0f55b53f13a5b682023-11-18T11:01:14ZengMDPI AGJournal of Clinical Medicine2077-03832023-06-011212411810.3390/jcm12124118General Critical Care, Temperature Control, and End-of-Life Decision Making in Patients Resuscitated from Cardiac ArrestAthanasios Chalkias0Georgios Adamos1Spyros D. Mentzelopoulos2Department of Anesthesiology, Faculty of Medicine, University of Thessaly, 41500 Larisa, GreeceFirst Department of Intensive Care Medicine, National and Kapodistrian University of Athens Medical School, 10675 Athens, GreeceFirst Department of Intensive Care Medicine, National and Kapodistrian University of Athens Medical School, 10675 Athens, GreeceCardiac arrest affects millions of people per year worldwide. Although advances in cardiopulmonary resuscitation and intensive care have improved outcomes over time, neurologic impairment and multiple organ dysfunction continue to be associated with a high mortality rate. The pathophysiologic mechanisms underlying the post-resuscitation disease are complex, and a coordinated, evidence-based approach to post-resuscitation care has significant potential to improve survival. Critical care management of patients resuscitated from cardiac arrest focuses on the identification and treatment of the underlying cause(s), hemodynamic and respiratory support, organ protection, and active temperature control. This review provides a state-of-the-art appraisal of critical care management of the post-cardiac arrest patient.https://www.mdpi.com/2077-0383/12/12/4118cardiac arrestpost-resuscitation careintensive care medicinecritical careoutcome |
| spellingShingle | Athanasios Chalkias Georgios Adamos Spyros D. Mentzelopoulos General Critical Care, Temperature Control, and End-of-Life Decision Making in Patients Resuscitated from Cardiac Arrest Journal of Clinical Medicine cardiac arrest post-resuscitation care intensive care medicine critical care outcome |
| title | General Critical Care, Temperature Control, and End-of-Life Decision Making in Patients Resuscitated from Cardiac Arrest |
| title_full | General Critical Care, Temperature Control, and End-of-Life Decision Making in Patients Resuscitated from Cardiac Arrest |
| title_fullStr | General Critical Care, Temperature Control, and End-of-Life Decision Making in Patients Resuscitated from Cardiac Arrest |
| title_full_unstemmed | General Critical Care, Temperature Control, and End-of-Life Decision Making in Patients Resuscitated from Cardiac Arrest |
| title_short | General Critical Care, Temperature Control, and End-of-Life Decision Making in Patients Resuscitated from Cardiac Arrest |
| title_sort | general critical care temperature control and end of life decision making in patients resuscitated from cardiac arrest |
| topic | cardiac arrest post-resuscitation care intensive care medicine critical care outcome |
| url | https://www.mdpi.com/2077-0383/12/12/4118 |
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