Post-Resuscitation Care

Ensuring Patient Stability and Recovery

After successful resuscitation, it's vital to provide appropriate care to maintain stability and support recovery.

1. Breathing and Oxygen Administration

Key Point: Monitor breathing and administer oxygen as needed to support the patient's respiratory function.

• Continue bag-mask ventilation until the patient demonstrates normal breathing, typically 12 to 20 breaths per minute.
• Transition to a non-rebreather mask at 15 litres per minute once normal breathing is established.

2. Temperature Management

Important Consideration: Focus on post-resuscitation cooling rather than heating to prevent clotting complications.

• Avoid thermal blankets or heating devices; instead, maintain a gentle cooling approach to regulate body temperature.
• Research supports keeping the patient cooler to improve outcomes, without the need for aggressive cooling methods.

3. Patient Comfort and Communication

Guidance: Prioritize patient comfort and open communication with family members throughout the post-resuscitation period.

• Keep the patient in a comfortable position, such as the recovery position, to facilitate airway management and comfort.
• Ensure clear communication with family members, providing updates on the patient's condition and care plan.

4. Readiness for Potential Recurrence

Preparedness: Maintain readiness for potential recurrence of cardiac arrest by keeping defibrillator and resuscitation equipment accessible.

• Keep the defibrillator turned on and accessible, with the lid open, to enable immediate response if needed.
• If the patient reverts to a shockable rhythm, initiate resuscitation protocols promptly, starting from the beginning.

Conclusion: Prioritising Patient Wellbeing

Post-resuscitation care plays a crucial role in supporting the patient's recovery and enhancing their chances of survival. By following established protocols and maintaining vigilance, healthcare providers can contribute significantly to positive outcomes.