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Cerebral therapy

Authoring team

Cerebral care in the context of resuscitation involves:

  • reverse initial ischaemia by treating arrest and maintaining output
  • failure of reperfusion and treatable causes:
    • vasospasm: calcium antagonists, avoid calcium
    • oedema: avoid hypercarbia, avoid sodium bicarbonate, perhaps hyperventilate
    • microthrombi or sludging

Cerebral therapeutic measures include

  • rapid return of spontaneous circulation
  • ventilate to hypocarbia: 4 kPa
  • barbiturate therapy: may act by slowing metabolism
  • hypothermia
  • steroids
  • free radical scavenger - the lazaroids
  • intracerebral pressure monitor

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The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

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