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Review Article
CPR/Resuscitation
Management of post-cardiac arrest syndrome
Youngjoon Kang
Acute Crit Care. 2019;34(3):173-178.   Published online August 31, 2019
DOI: https://doi.org/10.4266/acc.2019.00654
  • 33,292 View
  • 2,136 Download
  • 30 Web of Science
  • 33 Crossref
AbstractAbstract PDF
Post-cardiac arrest syndrome is a complex and critical issue in resuscitated patients undergone cardiac arrest. Ischemic-reperfusion injury occurs in multiple organs due to the return of spontaneous circulation. Bundle of management practicies are required for post-cardiac arrest care. Early invasive coronary angiography should be considered to identify and treat coronary artery obstructive disease. Vasopressors such as norepinephrine and dobutamine are the first-line treatment for shock. Maintainance of oxyhemoglobin saturation greater than 94% but less than 100% is recommended to avoid fatality. Target temperature therapeutic hypothermia helps to resuscitated patients. Strict temperature control is required and is maintained with the help of cooling devices and monitoring the core temperature. Montorings include electrocardiogram, oxymetry, capnography, and electroencephalography (EEG) along with blood pressue, temprature, and vital signs. Seizure should be treated if EEG shows evidence of seizure or epileptiform activity. Clinical neurologic examination and magnetic resonance imaging are considered to predict neurological outcome. Glycemic control and metabolic management are favorable for a good neurological outcome. Recovery from acute kidney injury is essential for survival and a good neurological outcome.

Citations

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Editorials
Prevention of sepsis in an aging society
Youngjoon Kang
Acute Crit Care. 2019;34(3):221-222.   Published online August 31, 2019
DOI: https://doi.org/10.4266/acc.2019.00612
  • 4,046 View
  • 110 Download
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Basic science and research
Is It Essential to Consider Respiratory Dynamics?
Youngjoon Kang
Korean J Crit Care Med. 2017;32(2):223-224.   Published online May 31, 2017
DOI: https://doi.org/10.4266/kjccm.2017.00276
  • 3,928 View
  • 56 Download
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ACC : Acute and Critical Care