Brain injury after cardiac arrest: from prognostication of comatose patients to rehabilitation.

Détails

ID Serval
serval:BIB_6FD46B139545
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Institution
Titre
Brain injury after cardiac arrest: from prognostication of comatose patients to rehabilitation.
Périodique
The Lancet. Neurology
Auteur(s)
Cronberg T., Greer D.M., Lilja G., Moulaert V., Swindell P., Rossetti A.O.
ISSN
1474-4465 (Electronic)
ISSN-L
1474-4422
Statut éditorial
Publié
Date de publication
07/2020
Peer-reviewed
Oui
Volume
19
Numéro
7
Pages
611-622
Langue
anglais
Notes
Publication types: Journal Article ; Review
Publication Status: ppublish
Résumé
More patients are surviving cardiac arrest than ever before; however, the burden now lies with estimating neurological prognoses in a large number of patients who were initially comatose, in whom the ultimate outcome is unclear. Neurologists, neurointensivists, and clinical neurophysiologists must accurately balance the concern that overly conservative prognostication could leave patients in a severely disabled state, with the possibility that inaccurately pessimistic prognostication could lead to the withdrawal of life-sustaining treatment in patients who might otherwise have a good functional outcome. Prognostic tools have improved greatly, including electrophysiological tests, neuroimaging, and chemical biomarkers. Conclusions about the prognosis should be delayed at least 72 h after arrest to allow for the clearance of sedative drugs. Cognitive impairments, emotional problems, and fatigue are common among patients who have survived cardiac arrest, and often go unrecognised despite being related to caregiver burden and a decreased participation in society. Through simple screening, these problems can be identified, and patients can be provided with adequate information and rehabilitation.
Pubmed
Création de la notice
06/07/2020 12:08
Dernière modification de la notice
20/09/2020 5:27
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