Management of brain injury after resuscitation from cardiac arrest

被引:99
作者
Geocadin, Romergryko G. [1 ]
Koenig, Matthew A. [1 ]
Jia, Xiaofeng [2 ]
Stevens, Robert D. [1 ]
Peberdy, Mary Ann [3 ,4 ]
机构
[1] Johns Hopkins Univ, Sch Med, Neurosci Crit Care Div, Baltimore, MD 21287 USA
[2] Johns Hopkins Univ, Sch Med, Dept Biomed Engn, Baltimore, MD 21287 USA
[3] Virginia Commonwealth Univ Hlth Syst, Dept Internal Med, Richmond, VA 23298 USA
[4] Virginia Commonwealth Univ Hlth Syst, Dept Emergency Med, Richmond, VA 23298 USA
关键词
D O I
10.1016/j.ncl.2008.03.015
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The devastating neurologic injury in survivors of cardiac arrest has been recognized since the development of modern resuscitation techniques. After numerous failed clinical trials, two trials showed that induced mild hypothermia can ameliorate brain injury and improve survival and functional neurologic outcome in comatose survivors of out-of-hospital cardiac arrest. This article provides a comprehensive review of the advances in the care of brain injury after cardiac arrest, with updates on the process of prognostication, the use of therapeutic hypothermia and adjunctive intensive care unit care for cardiac arrest survivors.
引用
收藏
页码:487 / +
页数:21
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