Post-Resuscitation Care Worksheets

ILCOR Code

RECOVER Code

Issue

PICO Question

Priority

WS Author(s)

Comments

ALS-PA-043A

PA01

IV fluids following cardiac arrest

In dogs and cats with ROSC after cardiac arrest who have cardiovascular dysfunction (hypotension, hypoperfusion) (P), does IV fluid administration (I) compared to no fluids (or another fluid) (C), result in improved outcome (O) (survival to discharge neurological function)?

1

Dr.  Yonaira Cortes  

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ALS-PA-056B

PA02

Hemodynamic support post resuscitation

 

In dogs and cats with ROSC after cardiac arrest who have cardiovascular dysfunction (P), does early hemodynamic optimization (I), as opposed to standard care, improve outcome (e.g. survival)?

1

Dr. Laurie Sorrell

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ALS-PA-057A

PA03

Cardio-active drugs post resuscitation

In dogs and cats with ROSC that are hypotensive (P), does the use of any particular cardio-active drug/vasopressor (I) compared to standard care (C), result in improved outcome (O) (survival to discharge neurological function)?

1

Dr. Lindsay Kellet-Gregory

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ALS-PA-057A

PA04

Cardio-active drugs post resuscitation

In dogs and cats with ROSC (P), does the institution of mild hypertension via the use of any particular cardio-active drug/vasopressor (I) compared to standard care (C), result in improved outcome (O) (survival to discharge neurological function)?

2

Dr. Shannon Axiak

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ALS-PA-053B

PA06

Ventilation strategy post resuscitation

In dogs and cats with ROSC after cardiac arrest (P), does normocapnia (+/- via PPV) (I) compared to hyper- or hypocapnia (C), result in improved outcome (O) (survival to discharge neurological function)?

2

Dr. Pedro Boscan

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ALS-PA-053B

PA07

Ventilation strategy post resuscitation

In dogs and cats with ROSC after cardiac arrest (P), does the routine use of positive pressure ventilation, or a specific ventilation strategy (I) as opposed to standard care (periodic checking for spontaneous respiration and allowing the animal to ventilate itself) (C), improve outcome (O) (e.g. survival)?

1

Dr. Michael Ethier

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ALS-PA-061B

PA08

Supplemental oxygen: 100% versus titration

In dogs and cats with ROSC after cardiac arrest (P), does the administration of 100% oxygen (I) compared to titration to normoxia (e.g. to SpO2 > 94%) (C), result in improved outcome (O) (survival to discharge neurological function)?

1

Dr. Jennifer Kyes

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ALS-PA-044

PA10

Hypothermia following resuscitation

In dogs and cats with ROSC after cardiac arrest (P), does rewarming at a certain rate (C/hour) (I) compared to fast rewarming to normal temperature (C) improve outcome (O) (neurological intact survival)?

1

Dr. Elizabeth Thomovsky

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ALS-PA-044

PA11

Hypothermia following resuscitation

In dogs and cats that remain comatose after resuscitation from cardiac arrest (P) does a specific onset, level and duration of therapeutic hypothermia (I) compared to normothermia (C) improve outcome (O) (neurological intact survival)?

1

Dr. Jane Quandt

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ALS-PA-048A

PA13

Steroids post resuscitation

In dogs and cats with ROSC after cardiac arrest (P), does the administration of corticosteroids (I) compared to standard care (C), result in improved outcome (O) (survival to discharge neurological function)?

1

Dr. Benjamin O’Kelley

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ALS-PA-050A

PA14

Seizure prophylaxis post resuscitation

In dogs and cats with ROSC (P), does seizure prophylaxis (I) compared to standard care (C), result in improved outcome (O) (decreased seizures, survival to discharge neurological function)?

2

Dr. Veronica Salazar

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ALS PA 055A

PA15

Recommendation for hyperosmotic agents; including other effects, e.g. neuroprotective 

In dogs and cats with ROSC after cardiac arrest (P), does the administration of mannitol / hypertonic saline (I) compared to standard care (C), result in improved outcome (O) (survival to discharge; neurological function)?

1

Dr. Sharon Finster

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ALS PA 055A

PA16

Recommendation neuroprotective drugs

In dogs and cats with ROSC after cardiac arrest (P), does the use of neuroprotective drugs (I) as opposed to standard care (C) improve outcome (e.g. survival with good neurological function)?

2

Dr. Manuel Boller

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N/A

PA17

Recommendation metabolic protection

In dogs and cats with ROSC after cardiac arrest (P), does the use of metabolic protectants (Ethyl pyruvate; PARP, mitochondrial protectants) (I) as opposed to standard care (C) improve outcome (e.g. survival with good neurological function)?

2

Dr. Steve Haskins

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N/A

PA18

Recommendation on acid base control

In dogs and cats with ROSC after cardiac arrest (P), does maintaining a pH goal with buffers (e.g. NaHCO3) (I) compared to no pH control (C), result in improved outcome (O) (survival to discharge neurological function)?

1

Dr. Amelia Munsterman

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ALS-PA-047A
ALS-PA-047B

PA19

treatment protocol post resuscitation
look at bundle care; comprehensive treatment protocol

In dogs and cats with ROSC after cardiac arrest, does the use of a comprehensive treatment protocol, as opposed to standard care, improve outcome (eg, survival)?

1

Dr. Elizabeth O’Toole

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EIT-027

PA20

Recommendation on referral to specialty center when fulfilling certain criteria.

In dogs and cats with ROSC after cardiac arrest (P), does post-CPR care in a specialty center (I) compared to post-CPR care in a non-specialty center (C) provide better outcomes (O) (e.g. survival rates or neurologic outcomes)?

1

Dr. Nathan Peterson

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NOT COMPLETED AT THIS TIME

ALS-PA-058A

PA05

Antiarrhythmic drugs post resuscitation

In dogs and cats after cardiac arrest (P) is administration of any particular antiarrhythmic agent (I) compared to any other agent (C) improving outcome (e.g. survival to discharge) (O)?

2

 

 

ALS-PA-061B

PA09

Supplemental oxygen: 100% versus titration

In dogs and cats with ROSC (P), does the avoidance of hypoxemia (with supplemental oxygen) (I) compared to no intervention (C), result in improved outcome (O) (survival to discharge neurological function)?

3

 

 

ALS-PA-045A

PA12

Glucose control following resuscitation

In dogs and cats with ROSC (P), does the control of blood glucose concentrations (I) compared to standard care (C), result in improved outcome (O) (survival to discharge neurological function)?

2