Lecture given at ACEP 2016 in Las Vegas, USA. Summary: The current algorithm we use to resuscitate patients in cardiac arrest, follows a “one-size fits all” approach. We treat all pulseless patients the same way, regardless of their underlying physiology or their response to our therapies. In the current presentation I briefly review the existing evidence to support the incorporation of intra-arrest monitoring to allow feedback regarding the effectiveness of our interventions and therefore the potential for a Goal-Directed Approach. In this case-based presentation I propose the use of invasive arterial blood pressure goals as well as the use of continuous TEE in order to provide a patient-centered resuscitation approach.
The current algorithm we use to resuscitate patients in cardiac arrest, follows a “one-size fits all” approach. We treat all pulseless patients the same way, regardless of their underlying physiology or their response to our therapies. In the current presentation I briefly review the existing evidence to support the incorporation of intra-arrest monitoring to allow feedback regarding the effectiveness of our interventions and therefore the potential for a Goal-Directed Approach. In this case-based presentation I propose the use of invasive arterial blood pressure goals as well as the use of continuous TEE in order to provide a patient-centered resuscitation approach.
Speaker: Felipe Teran-Merino , MD
Instructor of Emergency Medicine, Fellow in Emergency Ultrasound
Divisions of Emergency Critical Care and Emergency Ultrasound
Department of Emergency Medicine
Icahn School of Medicine at Mount Sinai, New York, NY
