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Brain injury after cardiac arrest: pathophysiology, treatment, and prognosis

C. Sandroni,T. Cronberg,M. Sekhon

2021 · DOI: 10.1007/s00134-021-06548-2
Intensive Care Medicine · 412 Citations

TLDR

The mechanisms of PCABI, its treatment options, its outcomes, and the suggested strategies for outcome prediction are described.

Abstract

Post-cardiac arrest brain injury (PCABI) is caused by initial ischaemia and subsequent reperfusion of the brain following resuscitation. In those who are admitted to intensive care unit after cardiac arrest, PCABI manifests as coma, and is the main cause of mortality and long-term disability. This review describes the mechanisms of PCABI, its treatment options, its outcomes, and the suggested strategies for outcome prediction.