Post-cardiac arrest syndrome in adult hospitalized patients

  • Estivalis G. Acosta-Gutiérrez School of Medicine, Universidad Nacional de Colombia. Bogotá, Colombia.
  • Andrés M. Alba-Amaya School of Medicine, Universidad Nacional de Colombia. Bogotá, Colombia.
  • Santiago Roncancio-Rodríguez School of Medicine, Universidad Nacional de Colombia. Bogotá, Colombia.
  • José Ricardo Navarro-Vargas a. School of Medicine, Universidad Nacional de Colombia. Bogotá, Colombia. b. Hospital Universitario Nacional de Colombia, Universidad Nacional de Colombia. Bogotá, Colombia. https://orcid.org/0000-0003-2548-1325
Keywords: Post-cardiac arrest syndrome, In-hospital cardiac arrest, Cardiopulmonary resuscitation, Return of spontaneous cardiac circulation, Ischemia-reperfusion injury

Abstract

Adult In-hospital Cardiac Arrest (IHCA) is defined as the loss of circulation of an in-patient. Following high-quality cardiopulmonary resuscitation (CPR), if the return of spontaneous circulation (ROSC) is achieved, the post-cardiac arrest syndrome develops (PCAS). This review is intended to discuss the current diagnosis and treatment of PCAS. To approach this topic, a bibliography search was conducted through direct digital access to the scientific literature published in English and Spanish between 2014 and 2020, in MedLine, SciELO, Embase and Cochrane. This search resulted in 248 articles from which original articles, systematic reviews, meta-analyses and clinical practice guidelines were selected for a total of 56 documents. The etiologies may be divided into 56% of in-hospital cardiac, and 44% of non-cardiac arrests. The incidence of this physiological collapse is up to 1.6 cases/1,000 patients admitted, and its frequency is higher in the intensive care units (ICU), with an overall survival rate of 13% at one year. The primary components of PCAS are brain injury, myocardial dysfunction and the persistence of the precipitating pathology. The mainstays for managing PCAS are the prevention of cardiac arrest, ventilation support, control of peri-cardiac arrest arrythmias, and interventions to optimize neurologic recovery. A knowledgeable healthcare staff in PCAS results in improved patient survival and future quality of life. Finally, there is clear need to do further research in the Latin American Population.

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How to Cite
1.
Acosta-Gutiérrez EG, Alba-Amaya AM, Roncancio-Rodríguez S, Navarro-Vargas JR. Post-cardiac arrest syndrome in adult hospitalized patients . Colomb. J. Anesthesiol. [Internet]. 2021Mar.11 [cited 2021Sep.27];49. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/972

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Published
2021-03-11
How to Cite
1.
Acosta-Gutiérrez EG, Alba-Amaya AM, Roncancio-Rodríguez S, Navarro-Vargas JR. Post-cardiac arrest syndrome in adult hospitalized patients . Colomb. J. Anesthesiol. [Internet]. 2021Mar.11 [cited 2021Sep.27];49. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/972
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Narrative review

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