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

C Sandroni, T Cronberg, M Sekhon - Intensive care medicine, 2021 - Springer
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 …

From ICU syndromes to ICU subphenotypes: consensus report and recommendations for develo** precision medicine in the ICU

AC Gordon, N Alipanah-Lechner, LD Bos… - American journal of …, 2024 - atsjournals.org
Critical care uses syndromic definitions to describe patient groups for clinical practice and
research. There is growing recognition that a “precision medicine” approach is required and …

Brain hypoxia is associated with neuroglial injury in humans post–cardiac arrest

RL Hoiland, PN Ainslie, CL Wellington… - Circulation …, 2021 - Am Heart Assoc
Rationale: Secondary brain hypoxia portends significant mortality in ischemic brain
diseases; yet, our understanding of hypoxic ischemic brain injury (HIBI) pathophysiology in …

[HTML][HTML] Clinical targeting of the cerebral oxygen cascade to improve brain oxygenation in patients with hypoxic–ischaemic brain injury after cardiac arrest

RL Hoiland, C Robba, DK Menon, G Citerio… - Intensive Care …, 2023 - Springer
The cerebral oxygen cascade includes three key stages:(a) convective oxygen delivery
representing the bulk flow of oxygen to the cerebral vascular bed;(b) diffusion of oxygen from …

Optimizing oxygen delivery to the injured brain

S Taran, P Pelosi, C Robba - Current Opinion in Critical Care, 2022 - journals.lww.com
Although there is growing interest in the use of brain tissue oxygenation as a resuscitative
endpoint, many of these therapies are based on physiologic principles with little robust …

Cerebral multimodality monitoring in adult neurocritical care patients with acute brain injury: a narrative review

J Tas, M Czosnyka, ICC van der Horst, S Park… - Frontiers in …, 2022 - frontiersin.org
Cerebral multimodality monitoring (MMM) is, even with a general lack of Class I evidence,
increasingly recognized as a tool to support clinical decision-making in the neuroscience …

Association of deranged cerebrovascular reactivity with brain injury following cardiac arrest: a post-hoc analysis of the COMACARE trial

J Laurikkala, A Aneman, A Peng, M Reinikainen… - Critical Care, 2021 - Springer
Background Impaired cerebrovascular reactivity (CVR) is one feature of post cardiac arrest
encephalopathy. We studied the incidence and features of CVR by near infrared …

Goal-directed care using invasive neuromonitoring versus standard of care after cardiac arrest: a matched cohort study

NA Fergusson, RL Hoiland, S Thiara… - Critical Care …, 2021 - journals.lww.com
PURPOSE: Following return of spontaneous circulation after cardiac arrest, hypoxic
ischemic brain injury is the primary cause of mortality and disability. Goal-directed care …

Determining optimal mean arterial pressure after cardiac arrest: a systematic review

KJK Rikhraj, MD Wood, RL Hoiland, S Thiara… - Neurocritical care, 2021 - Springer
The use of cerebral autoregulation monitoring to identify patient-specific optimal mean
arterial pressure (MAP OPT) has emerged as a technique to augment cerebral oxygen …

A randomized, double-blind trial comparing the effect of two blood pressure targets on global brain metabolism after out-of-hospital cardiac arrest

S Mølstrøm, TH Nielsen, CH Nordstrøm, A Forsse… - Critical Care, 2023 - Springer
Purpose This study aimed to assess the effect of different blood pressure levels on global
cerebral metabolism in comatose patients resuscitated from out-of-hospital cardiac arrest …