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

Details

Serval ID
serval:BIB_6FD46B139545
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
Brain injury after cardiac arrest: from prognostication of comatose patients to rehabilitation.
Journal
The Lancet. Neurology
Author(s)
Cronberg T., Greer D.M., Lilja G., Moulaert V., Swindell P., Rossetti A.O.
ISSN
1474-4465 (Electronic)
ISSN-L
1474-4422
Publication state
Published
Issued date
07/2020
Peer-reviewed
Oui
Volume
19
Number
7
Pages
611-622
Language
english
Notes
Publication types: Journal Article ; Review
Publication Status: ppublish
Abstract
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
Create date
06/07/2020 12:08
Last modification date
20/09/2020 5:27
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