Abstract
It is common for advanced practice clinicians (APC) to assist with the neurological assessment of a comatose patient following cardiac arrest. These patients are seen in coronary, medical, and neuroscience intensive care units. Patients with traumatic brain injury and aneurysmal subarachnoid hemorrhage may have been resuscitated in the field and may have additional anoxic-ischemic injury to the cortical mantle. This type of injury is unique in its severity. The task at hand is to assess severity and identify patients who may improve, as it is paramount to avoid premature withdrawal of care in these cases. This chapter discusses the pathophysiology, clinical and radiological assessment, and identification of prognostic factors in patients with anoxic-ischemic brain injury following cardiac arrest.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
References
Koenig MA. Brain resuscitation and prognosis after cardiac arrest. Crit Care Clin. 2014;30:765–83. Retrieved from http://dx-doi.org/10.1016/j/cc/2014.06.007.
Holzer M. Targeted temperature management for comatose survivors of cardiac arrest. N Engl J Med. 2010;363(13):1256–64.
Wijdicks EF. Post-cardiac arrest support and the brain. In: Solving critical consults. New York: Oxford University Press; 2016. p. 77–92.
Wijdicks EF. Prognostication after cardiac resuscitation. In: Communication prognosis. New York: Oxford University Press; 2014. p. 27–41.
Chalkias A, Xanthos T. Post-cardiac arrest brain injury: pathophysiology and treatment. J Neurol Sci. 2012;315:1–8.
Wijdicks EF. Neurology of resuscitation medicine. In: Emergency and critical care neurology. 2nd ed. New York: Oxford University Press; 2016.
Ben-Hamouda N, Taccone FS, Rossetti AO, Oddo M. Contemporary approach to neurologic prognostication of coma after cardiac arrest. Chest. 2014;146(5):1375–86.
Kane N, Oware A. Somatosensory evoked potentials aid prediction after hypoxic-ischaemic brain injury. Pract Neurol. 2015;15:352–60.
Young GB, Owen AM. Evaluatin the potential for recovery of consciousness in the intensive care unit. Continuum. 2015;21(5):1397–410.
Geocadin RG, Koenig MA, Jia X, Stevens RD, Perberdy MA. Management of brain injury after resuscitation from cardiac arrest. Neurol Clin. 2008;26(2). http://dx.doi.org/10.1016/j.ncl.2008.03.015.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer International Publishing AG
About this chapter
Cite this chapter
Hellickson, J.D., Wijdicks, E.F.M. (2018). Hypoxic-Ischemic Injury After Cardiac Arrest. In: White, J., Sheth, K. (eds) Neurocritical Care for the Advanced Practice Clinician. Springer, Cham. https://doi.org/10.1007/978-3-319-48669-7_17
Download citation
DOI: https://doi.org/10.1007/978-3-319-48669-7_17
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-48667-3
Online ISBN: 978-3-319-48669-7
eBook Packages: MedicineMedicine (R0)