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Doctor insights on: Cardiac Arrest Induced Coma

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After a cardiac arrest an induced coma ang getting seizures that would not stop why is that?

Brain injury: With the cardiac arrest and even with immediate CPR and defibrillation, hypoxia brain injury can occur so the induced coma is to, try to reduce he damage and allow recovery.
But sometimes the brain activity will cause seizures
status epilepticus - persistent unresponsive to meds sometimes. ...Read more

Dr. Creighton Wright
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How effective is an induced coma for treating cardiac arrest?

How effective is an induced coma for treating cardiac arrest?

Cardiac arrest: When you have cardiac arrest you are dead. Induced coma is done only when you are alive. As such it isn't a treatment for cardiac arrest. If a patient happens to be resuscitated from cardiac arrest, inducing coma can be a consideration to hope the brain will recover with less metabolic demand on it. It isn't done regularly. We are considering if cooling post arrest survival is as useful as thought ...Read more

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Could I go into cardiac arrest while in a coma?

Could I go into cardiac arrest while in a coma?

Cardiac arrest: Cardiac arrest can occur during waking situations and also when a patient is in a coma. Coma does not preclude cardiac arrest. ...Read more

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What is the average time a patient, who is in coma due to a cardiac arrest for 15-25 mins, will take to show signs of improvement?

What is the average time a patient, who is in coma due to a cardiac arrest for 15-25 mins, will take to show signs of improvement?

Poor prognosis: If they had no spontaneous circulation requiring CPR for >15 minutes, the prognosis is very poor. There may be irreversible brain injury. The prognosis is not determined by the timing, however. It's determined by their condition. If there's no brainstem activity, there will likely be no recovery. IF they have higher cortical activity, recovery is likely, will be slow, and may be incomplete. ...Read more

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I was in a medically induced coma for 2 to weeks. What could be the extense of the damage? I feel out of fucus and hyperactive.

I was in a medically induced coma for 2 to weeks. What could be the extense of the damage? I feel out of fucus and hyperactive.

It is more likely: That the reason you were placed in a coma is more detrimental than the coma itself. Without the full clinical history it is impossible to advise you. Discuss your concerns with your health care providers who have your full medical history. ...Read more

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What cause cardiac arrest during c sections?

What cause cardiac arrest during c sections?

Or any operation: Bleeding
clot embolism
anesthesia or drug toxicity or interaction
pre-existing heart or lung disease.

Specific: amniotic or air embolism
eclampsia and hypertension
there are more but this is a sample. ...Read more

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Does cardiac arrest hurt in any way?

Does cardiac arrest hurt in any way?

In general...no: In general...No. Ventricular fibrillation causes loss of consciousness almost immediately. ...Read more

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Is cardiac arrest a disease or just a sign?

Is cardiac arrest a disease or just a sign?

Both: It is a sign- the culmination and end result of any and all diseases. ...Read more

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Is asystole the same thing as cardiac arrest?

Is asystole the same thing as cardiac arrest?

Sort of: Is a calf a cow? If you are making veal parm? Cardiac arrest is the loss of pumping ability of the heart. That is measured as cardiac output (units l/min). In cardiac arrest it is 0.

Asystole is usually used to refer to the lack of electrical activity in the heart. If the electrical system could be measured, it would be measured in amps (current or electrons /sec). In asystole that is 0. ...Read more

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Does flatlining always mean a cardiac arrest?

Does flatlining always mean a cardiac arrest?

Yes: It is technically called asystole and means that there is no electrical activity in the heart. A cardiac arrest can also occur without flatlining-called PEA-pulseless electrical activity. There is activity seen on EKG or monitor, but no pumping activity, usually fatal. ...Read more

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How could I decrease risk of cardiac arrest?

How could I decrease risk of cardiac arrest?

Preventive cardiac: Behavior and choices!

no smoking
regular exercize
check BP and cholesterol/ fats
avoid atherosclerosis, and coronary disease. ...Read more

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How to know if I just went into cardiac arrest?

Depends: If you go into cardiac arrest, after about 10 seconds you will pass out, lights out. If the cardiac contraction and rythm do not resume spontaneously you will be brain dead within 5 minutes. So after 10 seconds if you do not get rescued, you will never know if you went into cardiac arrest. ...Read more

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How can a pro athlete die from a cardiac arrest?

How can a pro athlete die from a cardiac arrest?

Many reasons...: Sometimes there is an unknown congenital heart defect which goes undiagnosed and then results in a sudden cardiac arrest during exercise. Sometimes, an object, like a baseball, hits the chest at just the right time during the cardiac cycle resulting in cardiac arrest. So, there are many reasons for this unfortunate event to occur. ...Read more

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What does someone feel when having a cardiac arrest?

What does someone feel when having a cardiac arrest?

Lights out: When BP drops below 60mm/hg, loss of consciousness usually occurs, therefore you may still remain conscious for a few seconds after the heart stops. ...Read more

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I want to know my options for treating cardiac arrest?

I want to know my options for treating cardiac arrest?

Yes or No: Your only option is to decide in advance. Either you want to be resuscitated, or you wish have a "do not resuscitate" order/ advanced directive.. ...Read more

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What is the definition or description of: cardiac arrest?

What is the definition or description of: cardiac arrest?

Cardiac arrest: Most cardiac arrest episodes are due to the heart rhythm becoming inadequate to pump blood to the body. Ventricular fibrillation is commonly the abnormal rhythm associated with cardiac arrest. If effective rhythm isn't restored the patient dies. ...Read more

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Is it possible to exercise to the point if cardiac arrest?

Is it possible to exercise to the point if cardiac arrest?

Rare yes: Not likely but possible. You need multiple factors. In the young, usually need heart abnormality like unusual anatomy, abnormal arteries, certain valve disease, thickened heart, etc. Short of that, exercising to severe dehydration can lead to vascular collapse and cardiac arrest. ...Read more

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Explain the rationale for not using cart after cardiac arrest?

Explain the rationale for not using cart after cardiac arrest?

Clarify: I'm not sure I understand your question.
If you mean not driving a car, the concern would be that you might lose consciousness while driving. People who have had problems with fainting or seizures have Imipramine restrictions.
If you mean not using the resuscitation cart, it must be restocked after it is used in an arrest. ...Read more

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Can you tell me how to tell if I have signs of cardiac arrest?

Cardiac arrest: If you die suddenly you probably have cardiac arrest. You won't know it however. When you have cardiac arrest your blood flow loss means you'll pass out in a few seconds. Should you feel suddenly like you're about to pass out best to call out for help and hope CPR is available. ...Read more

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I understand what asystole is but how different from cardiac arrest?

I understand what asystole is but how different from cardiac arrest?

Same...sort of: Cardiac arrest means that the heart muscle has stopped beating. It can be from asystole, which means that there is no spontaneous rhythm at all, or other causes. But, in the end, cardiac arrest means the heart stop beating. ...Read more

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What causes sudden cardiac arrest?

What causes sudden cardiac arrest?

Long list: Sudden cardiac death had several causes: Coronary disease or heart attack may cause sudden cardiac death, but also sudden death can occur in patients with cardiac abnormality of the heart muscle that can be detected on echo cardiogram and sometime undetected on cardiac echo, electrical genetic anomaly may cause sudden death ...Read more

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What are the signs of sudden cardiac arrest?

Loss of Consciousnes: Loss of consciousness, not breathing, erratic (or no) pulse, paleness. ...Read more

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What is the survival rate of cardiac arrest?

What is the survival rate of cardiac arrest?

Low: Both in the hospital and away the survival rate is often less than 50%. Hospital rates are lower related to the severity of disease seen there. ...Read more

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Can infants and children have a cardiac arrest?

Can infants and children have a cardiac arrest?

Yes: But usually for different etiologies (causes).
Most children and infants will have a cardiac arrest if they do not get enough air (oxygen) and this will cause the heart rate to decrease to a point where the heart can stop (systole) or go into an abnormal rhythm. Also cardiac defects or anatomic abnormalities from birth can do this too. The best treatment is CPR and call 911. ...Read more

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What to do if cardiac arrest while on ventilator?

What to do if cardiac arrest while on ventilator?

Bad situation: Depends why one is on the ventilator and what caused the arrest. 1st thing is start CPR and follow acls (advanced cardiac life support). One the patient has a good pulse and good heat rhythm then deterine the cause of the arrest. ...Read more

Dr. James Dukelow
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