Intensive care after resuscitation from cardiac arrest: a focus on heart and brain injury.
Less than 3% of all patients who have out-of-hospital cardiac arrests have return of spontaneous circulation (ROSC), survive the hospitalization, and have a reasonable functional recovery. The fact that many patients who have ROSC ultimately die or fail to have favorable neurologic recovery suggests that processes that occur after hospitalization, especially in the ICU, have an impact on survival and neurologic recovery. This article addresses the acute care, with emphasis on the cardiac and neurologic aspects,that patients who have post cardiac arrest are provided in the cardiac ICU.
Schulman
Steven P
SP
Department of Medicine (Cardiology), Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA. sschulm@jhmi.edu
Hartmann
Tracey K
TK
Geocadin
Romergryko G
RG
D001145:Arrhythmias, Cardiac / Q000517:prevention & control; D001831:Body Temperature; D001921:Brain / Q000098:blood supply / Q000503:physiopathology; D001929:Brain Edema / Q000517:prevention & control; D002545:Brain Ischemia / Q000175:diagnosis / Q000503:physiopathology / Q000517:prevention & control*; D016887:Cardiopulmonary Resuscitation / Q000379:methods*; D004562:Electrocardiography; D015600:Glasgow Coma Scale; D006323:Heart Arrest / Q000209:etiology / Q000401:mortality / Q000517:prevention & control*; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D007362:Intensive Care Units; D019586:Intracranial Hypertension / Q000517:prevention & control; D020767:Intracranial Thrombosis / Q000517:prevention & control; D015996:Survival Rate