Post-cardiac arrest syndrome
The methods of cardiopulmonary resuscitation are being constantly improved. Nevertheless, mortality among survivors is still extremely high while the majority of them have persistent neurological deficit. Objective. To analyze epidemiology, etiology and pathogenesis, as well as modern methods of intensive care for post-cardiac arrest syndrome. Material and methods. Searching and selection of clinical trials was carried out on the websites of the National Council for Resuscitation, American Heart Association, Resuscitation Council UK, as well as using Cochrane, PubMed, eLibrary and Google Scholar online databases for the period from 2010 to 2020. The following keywords were applied: condition after cardiac arrest, post-cardiac arrest syndrome, clinical guidelines. Results. We comprehensively analyzed national and international literature devoted to intensive therapy of post-cardiac arrest syndrome. Conclusion. Modern intensive care of post-cardiac arrest syndrome includes identification and elimination of the cause of clinical death, control over hemodynamics and blood rheology, respiratory support, targeted temperature management, correction of metabolic disorders and much more. Implementation of current medical advances can significantly improve the results of therapy in patients with post-cardiac arrest syndrome.