Neuromonitoring After Cardiac Arrest: Can Twenty-First

Neurologic clinics · May 2021

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Neuromonitoring After Cardiac Arrest: Can Twenty-First Century Medicine Personalize Post Cardiac Arrest Care?

Cardiac arrest survivors comprise a heterogeneous population, in which the etiology of arrest, systemic and neurologic comorbidities, and sequelae of post-cardiac arrest syndrome influence the severity of secondary brain injury. The degree of secondary neurologic injury can be modifiable and is influenced by factors that alter cerebral physiology. Neuromonitoring techniques provide tools for evaluating the evolution of physiologic variables over time. This article reviews the pathophysiology of hypoxic-ischemic brain injury, provides an overview of the neuromonitoring tools available to identify risk profiles for secondary brain injury, and highlights the importance of an individualized approach to post cardiac arrest care.

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- Rachel Beekman, Carolina B Maciel, Ramani Balu, David M Greer, and Emily J Gilmore.
- Department of Neurology, Division of Neurocritical Care and Emergency Neurology, Yale University School of Medicine, P.O. Box 208018, 15 York Street, LLCI Building, 10th floor, New Haven, CT, 06520, USA. Electronic address: Rachel.Beekman@yale.edu.
- Neurol Clin. 2021 May 1; 39 (2): 273-292.
AbstractCardiac arrest survivors comprise a heterogeneous population, in which the etiology of arrest, systemic and neurologic comorbidities, and sequelae of post-cardiac arrest syndrome influence the severity of secondary brain injury. The degree of secondary neurologic injury can be modifiable and is influenced by factors that alter cerebral physiology. Neuromonitoring techniques provide tools for evaluating the evolution of physiologic variables over time. This article reviews the pathophysiology of hypoxic-ischemic brain injury, provides an overview of the neuromonitoring tools available to identify risk profiles for secondary brain injury, and highlights the importance of an individualized approach to post cardiac arrest care.Copyright © 2021 Elsevier Inc. All rights reserved.

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Neuromonitoring After Cardiac Arrest: Can Twenty-First Century Medicine Personalize Post Cardiac Arrest Care?

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