Prediction of Neurological Outcomes in Patients with Post-Cardiac Arrest Syndrome
https://doi.org/10.21292/2078-5658-2021-18-3-72-78
Abstract
Post-cardiac arrest syndrome is an extremely complex nosology, characterized by high mortality and the development of severe neurological disorders. Predicting the neurological outcome in this pathology is an urgent problem, since it allows determining the tactics of patient management and optimizing the scope of medical care, as well as preparing the patient's family members for expected results of treatment. Currently, clinical, laboratory and instrumental data are used as predictors of an unfavorable neurological outcome (e.g., pupillary responses, neuron-specific enolase levels, electroencephalography). There is no single criterion with high sensitivity and specificity for predicting neurological disorders; therefore, a multimodal approach is required. This article discusses several factors, the combination of which allows predicting the outcome of post-cardiac arrest syndrome with the greatest degree of reliability.
About the Authors
T. G. Markova
Irkutsk State Medical Academy Postgraduate Education, Branch of Russian Medical Academy for Professional Development
Russian Federation
Russian Federation
Tatiana G. Markova, Resident Physician of Anesthesiology and Intensive Care Department
100, Yubileyny R.D., Irkutsk, 664049
N. V. Bragina
Irkutsk State Medical Academy Postgraduate Education, Branch of Russian Medical Academy for Professional Development
Russian Federation
Russian Federation
Natalia V. Bragina, Candidate of Medical Sciences, Associate Professor of Anesthesiology and Intensive Care Department
100, Yubileyny R.D., Irkutsk, 664049
V. I. Gorbachev
Irkutsk State Medical Academy Postgraduate Education, Branch of Russian Medical Academy for Professional Development
Russian Federation
Russian Federation
Vladimir I. Gorbachev, Doctor of Medical Sciences, Professor, Head of Anesthesiology and Intensive Care Department
100, Yubileyny R.D., Irkutsk, 664049
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Review
For citations:
Markova T.G., Bragina N.V., Gorbachev V.I. Prediction of Neurological Outcomes in Patients with Post-Cardiac Arrest Syndrome. Messenger of ANESTHESIOLOGY AND RESUSCITATION. 2021;18(3):72-78. (In Russ.) https://doi.org/10.21292/2078-5658-2021-18-3-72-78
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