Monitorage cérébral après arrêt cardiaque : techniques et utilité clinique potentielle
Details
Serval ID
serval:BIB_084FE8B10FA4
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Monitorage cérébral après arrêt cardiaque : techniques et utilité clinique potentielle
Journal
Médecine Intensive Réanimation
ISSN
2496-6142
Publication state
Published
Issued date
10/2019
Peer-reviewed
Oui
Volume
28
Number
5
Pages
389-397
Language
french
Abstract
Cardiac arrest causes global hypoxia-ischemia, and reperfusion, with subsequent deleterious consequences on cerebral perfusion and oxygenation, as well as cell metabolism. Given the current lack of specific therapies to reverse or attenuate global hypoxic-ischemic brain injury, treatment is mainly supportive, aiming at optimize cerebral perfusion and oxygenation. In this setting, multimodal brain monitoring may be useful by helping clinicians to target optimal cerebral perfusion (e.g., blood arterial pressure thresholds) and oxygenation, thereby potentially attenauating secondary brain injury. The aim of this review was to discuss the available non-invasive techniques (e.g., transcranial Doppler, near infrared spectroscopy, electroencephalography, and automated infrared pupillometry) and describe their potential utility and limitations, with regard to acute phase management (optimization of perfusion and cerebral oxygenation) and early prognostication of post-cardiac arrest patients.
Create date
24/12/2018 20:42
Last modification date
30/10/2019 11:05