Cardiac arrest and disorders of consciousness.

Q2 Medicine

Handbook of clinical neurology Pub Date : 2025-01-01 DOI:10.1016/B978-0-443-13408-1.00015-4

Nefize Turan, Romergryko G Geocadin

引用次数: 0

Abstract

As the second most common cause of coma and disorders of consciousness, cardiac arrest is defined as a cessation of cardiac mechanical activity and absence of circulation. Cardiac arrest can happen due to an intrinsic cardiac condition or secondary to noncardiac causes such as respiratory, neurologic, metabolic causes or external causes such as toxic ingestion, asphyxia, drowning, trauma, and other environmental exposures. While cardiac arrest resuscitation research and practice has evolved over decades, the overall survival to hospital discharge remains low across different types of cardiac arrest (about 9%-29%). This chapter focuses on disorders of consciousness after cardiac arrest and how it is different from other etiologies. It also discusses advances and controversies in diagnosis, management, prognostication and research.

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心脏骤停和意识障碍。

作为昏迷和意识障碍的第二大常见原因，心脏骤停被定义为心脏机械活动的停止和循环的缺乏。心脏骤停可能是由于内在的心脏疾病或继发于非心脏原因，如呼吸、神经、代谢原因或外部原因，如有毒摄入、窒息、溺水、创伤和其他环境暴露。虽然心脏骤停复苏的研究和实践已经发展了几十年，但在不同类型的心脏骤停中，出院的总体存活率仍然很低（约为9%-29%）。本章着重于心脏骤停后的意识障碍及其与其他病因的不同之处。并讨论了在诊断、管理、预测和研究方面的进展和争议。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Handbook of clinical neurology Medicine-Neurology (clinical)

CiteScore

4.10

自引率

0.00%

发文量

302

期刊介绍： The Handbook of Clinical Neurology (HCN) was originally conceived and edited by Pierre Vinken and George Bruyn as a prestigious, multivolume reference work that would cover all the disorders encountered by clinicians and researchers engaged in neurology and allied fields. The first series of the Handbook (Volumes 1-44) was published between 1968 and 1982 and was followed by a second series (Volumes 45-78), guided by the same editors, which concluded in 2002. By that time, the Handbook had come to represent one of the largest scientific works ever published. In 2002, Professors Michael J. Aminoff, François Boller, and Dick F. Swaab took on the responsibility of supervising the third (current) series, the first volumes of which published in 2003. They have designed this series to encompass both clinical neurology and also the basic and clinical neurosciences that are its underpinning. Given the enormity and complexity of the accumulating literature, it is almost impossible to keep abreast of developments in the field, thus providing the raison d''être for the series. The series will thus appeal to clinicians and investigators alike, providing to each an added dimension. Now, more than 140 volumes after it began, the Handbook of Clinical Neurology series has an unparalleled reputation for providing the latest information on fundamental research on the operation of the nervous system in health and disease, comprehensive clinical information on neurological and related disorders, and up-to-date treatment protocols.