Key result
Post-cardiac arrest ICU care prioritizes hemodynamic targets, temperature management, coronary evaluation, and neuroprognostication.
Why the study?
Cardiac arrest remains a significant cause of morbidity and mortality, with important areas of clinical uncertainty in intensive care unit management including targeted temperature management, neuroprognostication, coronary evaluation, and hemodynamic targets.
This review summarizes current knowledge and clinical ICU practice recommendations for managing patients after cardiac arrest, focusing on targeted temperature management, neuroprognostication, coronary evaluation, and hemodynamic targets.
Provides updated post-arrest ICU recommendations; leaves open need for prospective trials to refine organ support and cause evaluation.
Cardiac arrest remains a significant cause of morbidity and mortality, although contemporary care now enables potential survival with good neurologic outcome. The core acute management goals for survivors of cardiac arrest are to provide organ support, sustain adequate hemodynamics, and evaluate the underlying cause of the cardiac arrest. In this article, the authors review the current state of knowledge and clinical intensive care unit practice recommendations for patients after cardiac arrest, particularly focusing on important areas of uncertainty, such as targeted temperature management, neuroprognostication, coronary evaluation, and hemodynamic targets.
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Smith et al. (2026) conducted a review in Cardiac arrest. Clinical intensive care unit management (targeted temperature management, neuroprognostication, coronary evaluation, and hemodynamic targets) was evaluated. Post-cardiac arrest ICU management focuses on organ support, hemodynamic targets, coronary evaluation, targeted temperature management, and neuroprognostication.
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