Post-Resuscitation Care: A Nursing Focus

Abstract

Cardiac arrest is a critical emergency that requires immediate resuscitation to restore circulation. The Return of Spontaneous Circulation (ROSC) marks the beginning of a crucial recovery phase known as post-resuscitation care. During this period, patients remain vulnerable to complications such as neurological injury, cardiovascular instability, and metabolic disturbances. Effective management focuses on maintaining airway and ventilation, stabilizing hemodynamics, monitoring neurological status, controlling body temperature, and correcting metabolic imbalances. Nurses play a vital role in the continuous monitoring of physiological parameters, early detection of complications, and implementation of therapeutic interventions. Proper post-resuscitation nursing care significantly improves patient survival and neurological outcomes. In addition, timely optimisation of oxygen delivery and perfusion is essential to prevent secondary brain injury and support organ function. The use of targeted temperature management (32–36°C) has been shown to enhance neurological recovery when appropriately implemented and monitored. Identifying and treating the underlying cause of cardiac arrest, such as myocardial infarction or electrolyte imbalance, is equally critical in preventing recurrence. Continuous cardiac monitoring, fluid and medication management, and coordinated multidisciplinary care further contribute to improved patient outcomes during this vulnerable phase.