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Erschienen in: Neurocritical Care 1/2017

14.09.2017

Emergency Neurological Life Support: Resuscitation Following Cardiac Arrest

verfasst von: Jonathan Elmer, Kees H. Polderman

Erschienen in: Neurocritical Care | Sonderheft 1/2017

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Abstract

Cardiac arrest is the most common cause of death in North America. An organized bundle of neurocritical care interventions can improve chances of survival and neurological recovery in patients who are successfully resuscitated from cardiac arrest. Therefore, resuscitation following cardiac arrest was chosen as an Emergency Neurological Life Support protocol. Key aspects of successful early post-arrest management include: prevention of secondary brain injury; identification of treatable causes of arrest in need of emergent intervention; and, delayed neurological prognostication. Secondary brain injury can be attenuated through targeted temperature management (TTM), avoidance of hypoxia and hypotension, avoidance of hyperoxia, hyperventilation or hypoventilation, and treatment of seizures. Most patients remaining comatose after resuscitation from cardiac arrest should undergo TTM. Treatable precipitants of arrest that require emergent intervention include, but are not limited to, acute coronary syndrome, intracranial hemorrhage, pulmonary embolism and major trauma. Accurate neurological prognostication is generally not appropriate for several days after cardiac arrest, so early aggressive care should never be limited based on perceived poor neurological prognosis.
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Metadaten
Titel
Emergency Neurological Life Support: Resuscitation Following Cardiac Arrest
verfasst von
Jonathan Elmer
Kees H. Polderman
Publikationsdatum
14.09.2017
Verlag
Springer US
Erschienen in
Neurocritical Care / Ausgabe Sonderheft 1/2017
Print ISSN: 1541-6933
Elektronische ISSN: 1556-0961
DOI
https://doi.org/10.1007/s12028-017-0457-9

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