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<p>After return of spontaneous circulation (ROSC), a&#xa0;phase begins in which hypoxemia, hypocapnia/hypercapnia, hypotension and body temperature significantly influence the neurological outcome of patients. The goal of postresuscitation treatment is to prevent rearrest and secondary organ or brain damage through consistent, target-oriented stabilization of oxygenation, ventilation, hemodynamics and body temperature. Prehospital care focuses on ABCDE-based monitoring, normocapnia, normoxemia, normotensive disorders and early detection of ST-elevation myocardial infarction (STEMI). In the resuscitation room, structured handover, stabilization of vital signs, clarification of the underlying cause and decisions regarding further diagnostic procedures take place. In the intensive care unit, fever control, lung-protective ventilation, differentiated circulatory management and multimodal neurological prognostic assessment are crucial. Standardized processes across all levels of care improve neurological recovery.</p>

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Postreanimationsbehandlung

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年7月9日

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  • Tobias Gossler,
  • Alexander Kaserer,
  • Manuela Iten,
  • Samira Akbas

摘要

After return of spontaneous circulation (ROSC), a phase begins in which hypoxemia, hypocapnia/hypercapnia, hypotension and body temperature significantly influence the neurological outcome of patients. The goal of postresuscitation treatment is to prevent rearrest and secondary organ or brain damage through consistent, target-oriented stabilization of oxygenation, ventilation, hemodynamics and body temperature. Prehospital care focuses on ABCDE-based monitoring, normocapnia, normoxemia, normotensive disorders and early detection of ST-elevation myocardial infarction (STEMI). In the resuscitation room, structured handover, stabilization of vital signs, clarification of the underlying cause and decisions regarding further diagnostic procedures take place. In the intensive care unit, fever control, lung-protective ventilation, differentiated circulatory management and multimodal neurological prognostic assessment are crucial. Standardized processes across all levels of care improve neurological recovery.