title: [Implementation of post-resuscitation care in adult cardiac arrest patients - Experts' opinion].
abstract: Current evidence on post-resuscitation care suffers from important knowledge gaps on new treatments and prognostication, mainly because of the lack of large multicenter randomized trials. However, optimization of post-resuscitation care is crucial, and the establishment of a treatment easy to be accepted and implemented locally, based on currently available evidence, is advisable. The present article is a multisociety experts' opinion on post-cardiac arrest that aims (i) to provide schematic and clear suggestions on therapeutic interventions to be delivered following resuscitation from cardiac arrest, so as to implement local protocols with a standardized post-resuscitation care; (ii) to suggest post-resuscitation therapeutic interventions that may result in improved survival with good neurological recovery, intended as a Cerebral Performance Category (CPC) score of 1-2; and finally (iii) to propose a pragmatic and schematic approach to post-resuscitation care for rapid initiation of intensive treatments (i.e. temperature management). The suggestions reported in this document are intended for adult patients resuscitated from both out-of-hospital and in-hospital cardiac arrest. They should be considered solely as an experts' opinion aimed to improve post-cardiac arrest care and they do not represent an official national guideline.
authors.affiliation: Italian Resuscitation Council (IRC).
authors.forename: Tommaso
authors.initials: T
authors.lastname: Pellis
authors.affiliation: Italian Resuscitation Council (IRC).
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Ristagno
authors.affiliation: Italian Resuscitation Council (IRC).
authors.forename: Federico
authors.initials: F
authors.lastname: Semeraro
authors.affiliation: Italian Resuscitation Council (IRC) - Associazione Nazionale Medici Cardiologi Ospedalieri (ANMCO).
authors.forename: Niccolò
authors.initials: N
authors.lastname: Grieco
authors.affiliation: Federazione Nazionale Collegi Infermieri Professionali, Assistenti Sanitari, Vigilatrici d'Infanzia (IPASVI).
authors.forename: Andrea
authors.initials: A
authors.lastname: Fabbri
authors.affiliation: Società Italiana Sistema 118 (SIS118).
authors.forename: Mario
authors.initials: M
authors.lastname: Balzanelli
authors.affiliation: Società Italiana di Medicina di Emergenza Urgenza (SIMEU).
authors.forename: Elisa
authors.initials: E
authors.lastname: Berruto
authors.affiliation: Italian Resuscitation Council (IRC).
authors.forename: Andrea
authors.initials: A
authors.lastname: Scapigliati
authors.affiliation: Società Italiana di Medicina di Emergenza Urgenza (SIMEU).
authors.forename: Massimiliano
authors.initials: M
authors.lastname: Sciretti
authors.affiliation: Italian Resuscitation Council (IRC).
authors.forename: Erga
authors.initials: E
authors.lastname: Cerchiari
mesh_terms: D000328:Adult; D016887:Cardiopulmonary Resuscitation / Q000379:methods*; D006323:Heart Arrest / Q000628:therapy*; D006801:Humans; D058687:Out-of-Hospital Cardiac Arrest / Q000628:therapy*; D013534:Survival