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- Title
Beyond return of spontaneous circulation: update on post-cardiac arrest management in the intensive care unit.
- Authors
Yew Woon Chia; Lim, Shir Lynn; Loh, Julian Kenrick; Sieu-Hon Leong, Benjamin; Eng Hock Ong, Marcus; Chia, Yew Woon; Leong, Benjamin Sieu-Hon; Ong, Marcus Eng Hock
- Abstract
A well-functioning chain of survival is critical for good outcomes following out-of-hospital cardiac arrest, a major public health concern in Singapore. While the percentage of survivors to hospital admission has increased over the years, the percentage of survivors to hospital discharge and the number of patients with good neurological recovery can be greatly improved. This underscores the urgent need to focus on 'post-cardiac arrest care', the fifth link in the chain of survival, to improve the outcomes of patients who are admitted to the intensive care unit (ICU) after return of spontaneous circulation. This review builds on earlier recommendations of the Singapore National Targeted Temperature Management Workgroup in 2017 to provide a focused update on post-cardiac arrest management and a practical guide for physicians managing resuscitated patients with cardiac arrest in the ICU.
- Subjects
SINGAPORE; INTENSIVE care units; ADVANCED cardiac life support; PUBLIC health; CARDIAC intensive care; PHYSICIANS; TREATMENT effectiveness
- Publication
Singapore Medical Journal, 2021, Vol 62, Issue 8, p444
- ISSN
0037-5675
- Publication type
journal article
- DOI
10.11622/smedj.2021115