This content was originally posted by: samin096
Most important , is to clarify cardiorespiratory arrest can occur under any situation including brain injury. But again respiratory arrest occurs when the brain stem is affected (respiratory centre is located here). In my ICU we do follow the BCLS and ACLS protocol, and Cjest compressions are the initial stages of CPR (but they should be started when a patient is in brady with an impending arrest because if an arrest has occurred with H.R. below 20/min, there usefulness reduces). Secondly if a patient is apnoeic for a long time, anoxia/hypoxia leads to ischemic changes in the brain.During a CPR in the ICU setup, normally the dco on call stands near the head end with the AMBU bag (mouth to mouth is not the protocol ina any hospital as such), and then goes for intubation and ventilation, cardiac resync. may not be necessary. And in my ICU experience I actually have never seen a CPR with successful revival without a mechanical ventilation.In fact after the revival we often go for post arrest hypothermia.
In IPKKND , Khushi wasn't breathing which means she was apnoeic. I don't know about her heart rate...wasn't commented upon. But she was apnoeic for quite sometime, but still didn't have any ischemic changes in the brain
comment:
p_commentcount