Clinical practice guidelines for device supportive care in adults with post cardiac arrest syndrome in China

Abstract

Post cardiac arrest syndrome (PCAS) refers to the multiple organ dysfunction or failure after return of spontaneous circulation (ROSC) in cardiac arrest (CA) patients. PCAS is closely related to the prognosis of CA patients, and is an independent risk factor of survival. Device supportive care is critical for improving prognosis of PCAS. In order to guide and standardize device supportive care in PCAS among clinicians, nurses and research personnel in China, the working group drafted the first clinical practice guidelines for device supportive care in adults with PCAS according to World Health Organization (WHO) guideline development manual, with the Grading of Recommendations Assessment, Development and Evaluation (GRADE) system. The guidelines developed sixteen recommendations on seven types of devices in four aspects including neuroprotection, circulatory treatment, respiratory support and renal replacement therapy, providing references for clinical management of PCAS.