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Cerebral Resuscitation After Cardiac Arrest

  • Oladi S. Bentho
  • Romergryko G. GeocadinEmail author
Chapter

Abstract

Cardiac arrest (CA) is a sudden loss of heart function due to either a primary cardiac event such as myocardial event or secondary effect on the heart from neurological, respiratory, or metabolic causes. At the epicenter of the high mortality and morbidity from CA, is the post-cardiac arrest syndrome, which includes anoxic brain injury, myocardial dysfunction, and a systemic ischemia and reperfusion syndrome. Of these, perception of injury to the brain is the most common cause of death in two-thirds of patients with OHCA and a quarter of patients with IHCA. This chapter will review the clinical manifestation of brain injury after a cardiac arrest, the pathophysiology of brain injury in this setting, the management post-CA, and neuroprognostication of patients post-CA.

Keywords

Post-cardiac arrest syndrome Cerebral resuscitation Neuroprognostication Brain injury after cardiac arrest Post-cardiac arrest care 

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Copyright information

© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  1. 1.Department of NeurologyUniversity of MinnesotaMinneapolisUSA
  2. 2.Department of Anesthesiology-Critical Care Medicine, Neurology and NeurosurgeryThe Johns Hopkins University School of MedicineBaltimoreUSA

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