Abstract

NAVARRO-VARGAS, José Ricardo  and  DIAZ, José Luis. Post cardiac arrest syndrome. Rev. colomb. anestesiol. [online]. 2014, vol.42, n.2, pp.107-113. ISSN 0120-3347.  https://doi.org/dx.doi.org/10.1016/j.rca.2014.01.001.

ABSTRACT Background: Resuscitation from cardiac arrest with global ischemia restores spontaneous circulation in some patients; however, survival depends on many factors associated with post cardiac arrest syndrome. During the last ten years, the understanding and control of these factors have improved the prognosis in a subgroup of patients. Objective: To describe the pathophysiology and current management of the post cardiac arrest syndrome (PCAS). Methodology: Narrative review of the literature using Medline via PubMed and Clinical Trials, using the terms MeSH cardiac arrest - Cardiopulmonary Resuscitation and (no term MeSH) Post cardiac arrest syndrome. Results: Clinical trials have established a set of management protocols and guidelines based on therapeutic objectives with survival rates exceeding 50% of the cardiac arrest victims. Conclusions: The management of this syndrome has actually strengthened the last link in the survival chain by standardizing the evaluation and selection of cardiac arrest victims via a therapeutic hypothermia protocol and early percutaneous coronary intervention.

Keywords : Heart arrest; Cardiopulmonary resuscitation; Percutaneous coronary intervention; Hypothermia; induced; Blood Circulation.

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