التقنيات الحديثة لحماية المخ في مرحلة ما بعد الإنعاش من توقف عضلة القلب

                                                "During the past few decades, tremendous technological advances in resuscitation medicine have occurred.

Despite such advances as early initiation of cardiopulm-onary resuscitation (CPR). By bystanders and the use of advanced cardiac life support in both prehospital and in-hospital settings, the survival rates for prehospital cardiac arrest to hospital discharge are less than 20%. As if the high mortality were not dismal enough, more than half the survivors experience significant neurologic deficits.

Only 3% to 10% of resuscitated patients are finally able to resume their pre-cardiac-arrest lifestyles. It has become well recognized that ischemic and postischemic events can cause significant neuronal damage. The focus of research today is to further elucidate the pathophysiology of ischemic brain damage and to test strategies to successfully resuscitate the brain.

This essay introduces advances in resuscitation medicine, with a specific focus on cerebral resuscitation.

Because of the rapid changes in resuscitation research, clinicians can anticipate an ever-evolving change in practice into the next century as scientific evidence serves either to support current practice or to radically alter it (White et al., 1993)."