What is Post-Cardiac Arrest Care?
The term “post-cardiac arrest care” refers to the treatment of a person who has had cardiac arrest and been resuscitated. It is a subset of critical care medicine.
A ventilated post-cardiac arrest patient is a person who has had cardiac arrest and been resuscitated and then required use of mechanical ventilation for some time. The term “post-cardiac arrest care” refers to the treatment of such patients, which is a subset of critical care medicine.
What are the Goals of Post-Cardiac Arrest Care?
The goal of post-cardiac arrest care is to prevent the patient from suffering long-term damage to the heart and neurological functions. Return of spontaneous circulation (ROSC) is the return of a person’s heart to an organized rhythm after a loss of circulation. ROSC after cardiac arrest increases the probability of survival with a good quality of life. After ROSC, the provider must immediately begin post-cardiac arrest care to optimize ventilation, circulation, preserve the heart and brain tissue and function (you can read more about methods used to achieve this goal here), and maintain blood glucose. This care focuses on optimizing cardiopulmonary function and perfusing vital organs after ROSC.
How to Achieve the Right PaC02 Levels in Ventilated Post Cardiac Arrest Patients?
After return of spontaneous circulation (ROSC) is obtained, the provider should:
- Manage airway with an early placement of an ET tube.
- Manage respiratory parameters.
- Begin at 10 breaths a minute to meet goals as follows:
- SpO2 92–98%
- PaCo2 35–45 mm Hg
Where Can I Learn More About Advanced Cardiac Life Support and Post-Cardiac Care?
Advanced Cardiac Life Support (ACLS) is a course that teaches healthcare providers the latest techniques in cardiac care.
This course is designed for healthcare providers who are currently working in an acute care setting. It is also designed for those who are preparing to work in an acute care setting.
The course will teach you how to recognize and manage cardiac emergencies, including cardiogenic shock, MI, heart failure and more. You will also learn about post-cardiac care and how to identify complications related to cardiac arrest.
Medical ProCerts has created an American Heart Association (AHA) compliant Advanced Cardiovascular Life Support certification course and exam that is taken entirely online. The course materials include up-to-date algorithms, study materials, instructional videos and practice tests—all to help you prepare for the final exam. The exam is also online, and a successful completion means you are immediately issued your ACLS certification provider card!