STABILIZATION AND POST-RESUSCITATION MANAGEMENT

Stabilization and post-resuscitation care are critical for pediatric patients who achieve return of spontaneous circulation (ROSC). This phase focuses on preventing recurrence of arrest and managing organ dysfunction.

Key Components of Post-Resuscitation Management:

• Hemodynamic Support: Maintain blood pressure and perfusion using fluids and inotropes as needed.
• Respiratory Support: Provide oxygen and ventilation to achieve normoxia and normocapnia, avoiding hyperoxia.
• Temperature Control: Prevent hyperthermia and consider targeted temperature management (TTM) to reduce the risk of neurological injury.
• Monitoring: Continuously monitor vital signs, arterial blood gases, and electrolytes. Obtain imaging studies as indicated.
• Treat Underlying Causes: Address reversible causes of the arrest, such as sepsis, arrhythmias, or metabolic derangements.

Comprehensive post-resuscitation care improves survival and long-term outcomes in pediatric patients.