Recent developments in the management of patients resuscitated from cardiac arrest.

摘要: Cardiac arrest is the leading cause of death in Europe and United States. Many patients who are initially resuscitated die hospital, hospital survivors often have substantial neurologic dysfunction. Most cardiac arrests caused by coronary artery disease; with disease likely benefit from early angiography intervention. After resuscitation, remain critically ill frequently suffer cardiogenic shock multiorgan failure. Early cardiopulmonary stabilization important to prevent worsening organ injury. To achieve best patient outcomes, comprehensive critical care management needed, primary goals stabilizing hemodynamics preventing progressive brain Targeted temperature recommended for comatose mitigate injury that drives outcomes. Accurate assessment central managing should combine physical examination objective testing, caveat delaying prognosis essential avoid premature withdrawal supportive care. A combination clinical findings diagnostic results be used estimate likelihood functional recovery. This review focuses on recent advances specific intensive strategies may improve morbidity mortality after arrest.