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Post-cardiac arrest physiology and management in the neonatal intensive care unit
- Source :
- Resuscitation
- Publication Year :
- 2021
- Publisher :
- Elsevier BV, 2021.
-
Abstract
- AIM: The importance of high-quality post-cardiac arrest care is well-described in adult and paediatric populations, but data are lacking to inform post-cardiac arrest care in the neonatal intensive care unit (NICU). The objective of this study was to describe post-cardiac arrest physiology and management in a quaternary NICU. METHODS: Retrospective descriptive study of post-cardiac arrest physiology and management. Data were abstracted from electronic medical records and an institutional resuscitation database. A cardiac arrest was defined as ≥1 minute of chest compressions. Only index arrests were analysed. Descriptive statistics were used to report patient, intra-arrest, and post-arrest characteristics. RESULTS: There were 110 index cardiac arrests during the 5-year study period from 1/2017–2/2021. The majority (69%) were acute respiratory compromise leading to cardiopulmonary arrest (ARC-CPA) and 26% were primary cardiopulmonary arrests (CPA). Vital sign monitoring within 24 hours post-arrest was variable, especially non-invasive blood pressure frequency (median 5, range 1–44 measurements). There was a high prevalence of hypothermia (73% of arrest survivors). There was substantial variability in laboratory frequency within 24 hours post-arrest. Patients with primary CPA received significantly more lab testing and had a higher prevalence of acidosis (pH
- Subjects :
- Adult
medicine.medical_specialty
Resuscitation
Neonatal intensive care unit
Physiology
Emergency Nursing
Article
Intensive Care Units, Neonatal
medicine
Humans
Post cardiac arrest
Neonatology
Child
Vital sign monitoring
Retrospective Studies
business.industry
Medical record
Infant, Newborn
Hypothermia
Cardiopulmonary Resuscitation
Heart Arrest
Blood pressure
Emergency Medicine
medicine.symptom
Cardiology and Cardiovascular Medicine
business
Subjects
Details
- ISSN :
- 03009572
- Volume :
- 169
- Database :
- OpenAIRE
- Journal :
- Resuscitation
- Accession number :
- edsair.doi.dedup.....b0fecd935a0b25de2cd60f30682459f5