Post-cardiac arrest management has undergone substantial revisions within the past several years, particularly with regards to temperature management. This remains an area of active controversy and investigation, with the TTM-2 trial currently underway. Although equipoise still exists, this chapter describes a streamlined 36C approach which is based on evidence, guidelines, and experience with various strategies.
-
The IBCC chapter is located here.
- The podcast & comments are below.
Follow us on iTunes
The Podcast Episode
Want to Download the Episode?
Right Click Here and Choose Save-As
Josh is the creator of PulmCrit.org. He is an associate professor of Pulmonary and Critical Care Medicine at the University of Vermont.
Latest posts by Josh Farkas (see all)
- PulmCrit Wee – A better classification of heart failure (HFxEF-RVxEF) - August 26, 2024
- PulmCrit Wee: Rational selection of infusion rate based on loading dose - June 25, 2024
- PulmCrit: PPIs are safe and effective for GI prophylaxis… the end. - June 18, 2024
Great tips on shivering control!
I would recommend skin counter warming as a first line defense for shivering. Not only gloves and socks but a bair hugger works great!
What would you recommend as a go to device for cooling?
I’m cooling for something portable, reliable to get to 36 and hold them there and, preferably, not too expensive.
Concerning your comments re: normocapnia….
– we all see many post-arrest patients with a metabolic acidosis for various reasons
– if we target normocapnia, are you not preventing the necessary respiratory compensation?
– how have you dealt with this?
What is the utility of ordering a lactic acid post-cardiac arrest?