|
G-PA-18
Sept 2, 2011 20:44:12 GMT -5
Post by Dan Fletcher on Sept 2, 2011 20:44:12 GMT -5
Seizure prophylaxis with barbiturates may be considered in dogs and cats post-cardiac arrest.
|
|
|
G-PA-17
Sept 2, 2011 20:43:58 GMT -5
Post by Dan Fletcher on Sept 2, 2011 20:43:58 GMT -5
It is reasonable to tolerate hypertension in the immediate post-arrest period in dogs and cats.
|
|
|
G-PA-16
Sept 2, 2011 20:43:43 GMT -5
Post by Dan Fletcher on Sept 2, 2011 20:43:43 GMT -5
For dogs and cats successfully resuscitated after CPA, referral to a specialty center with 24 hour care, higher health care provider:patient ratios, and advanced critical care capabilities is reasonable.
|
|
|
G-PA-15
Sept 2, 2011 20:43:29 GMT -5
Post by Dan Fletcher on Sept 2, 2011 20:43:29 GMT -5
Induction of mild hypothermia (34 C) for 12 hours post-resuscitation, normocapnia (35-40 mmHg) for 24 hours, and sustained hypertension (140 mmHg, mean) for 4 hours after successful ROSC is reasonable.
|
|
|
G-PA-14
Sept 2, 2011 20:43:10 GMT -5
Post by Dan Fletcher on Sept 2, 2011 20:43:10 GMT -5
Administration of hydrocortisone (1 mg/kg followed by either 1 mg/kg q 6 hours or an infusion of 0.15 mg/kg/hr and then tapered a the patient’s condition allows) to cats or dogs that remain hemodynamically unstable despite administration of fluids and inotropes/pressors may be considered.
|
|
|
G-PA-13
Sept 2, 2011 20:42:51 GMT -5
Post by Dan Fletcher on Sept 2, 2011 20:42:51 GMT -5
Routine administration of corticosteroids to cats or dogs after successful resuscitation from cardiac arrest is not recommended.
|
|
|
G-PA-12
Sept 2, 2011 20:42:33 GMT -5
Post by Dan Fletcher on Sept 2, 2011 20:42:33 GMT -5
In the absence facilities for mechanical ventilation and advanced critical care infrastructure, mild hypothermia should not be initiated.
|
|
|
G-PA-11
Sept 2, 2011 20:42:20 GMT -5
Post by Dan Fletcher on Sept 2, 2011 20:42:20 GMT -5
In dogs and cats that remain comatose after successful resuscitation from cardiac arrest, mild therapeutic hypothermia (32-34C) for 24-48 hrs initiated as soon as possible after ROSC is recommended, if mechanical ventilation and advanced critical care capability is available.
|
|
|
G-PA-10
Sept 2, 2011 20:41:56 GMT -5
Post by Dan Fletcher on Sept 2, 2011 20:41:56 GMT -5
In hypothermic dogs and cats post-arrest, fast rewarming at a rate > 1C/hr is not recommended.
|
|
|
G-PA-09
Sept 2, 2011 20:41:41 GMT -5
Post by Dan Fletcher on Sept 2, 2011 20:41:41 GMT -5
In hypothermic dogs and cats post-arrest, slow rewarming at a rate of 0.25-0.5C/hr is reasonable.
|
|
|
G-PA-08
Sept 2, 2011 20:41:23 GMT -5
Post by Dan Fletcher on Sept 2, 2011 20:41:23 GMT -5
In dogs and cats after ROSC, inspired oxygen should be titrated to maintain normoxia (PaO2=80-100mmHg, SpO2=94-98%); hypoxemia and hyperoxemia should be avoided.
|
|
|
G-PA-07
Sept 2, 2011 20:41:02 GMT -5
Post by Dan Fletcher on Sept 2, 2011 20:41:02 GMT -5
Post-arrest, a target PaCO2 of 32-43mmHg in dogs and 26-36mmHg in cats is reasonable.
|
|
|
G-PA-06
Sept 2, 2011 20:40:41 GMT -5
Post by Dan Fletcher on Sept 2, 2011 20:40:41 GMT -5
In dogs and cats post-arrest that are hypoventilating or at risk of respiratory arrest, IPPV (manual or mechanical) is reasonable.
|
|
|
G-PA-05
Sept 2, 2011 20:40:27 GMT -5
Post by Dan Fletcher on Sept 2, 2011 20:40:27 GMT -5
In dogs and cats post-arrest, routine mechanical ventilation is not recommended.
|
|
|
G-PA-04
Sept 2, 2011 20:39:16 GMT -5
Post by Dan Fletcher on Sept 2, 2011 20:39:16 GMT -5
The use of vasopressors and/or positive inotropes in dogs and cats with persistent hypotension/cardiovascular instability post-arrest is reasonable.
|
|