Abstract

Despite significant advances in neurocritical care, it remains difficult to precisely measure the extent of neurological injury in patients affected by stroke, trauma, or cardiac arrest. In the intensive care unit the extent of primary and secondary injury often eludes clinicians, making prognostication imprecise and difficult. Derwall and colleagues present their findings on the dynamics of serum S-100B protein levels in out-of-hospital cardiac arrest survivors. Their study suggests that elevation of S-100B reflects the severity of the primary hypoxic-ischemic insult.

Highlights

  • The first decade of the 21st century has witnessed explosive growth in therapies for the critically ill neurological patient

  • It remains difficult to precisely measure the extent of neurological injury in patients affected by stroke, trauma, or cardiac arrest

  • In a recent issue of Critical Care, Derwall and colleagues [1] present their findings on the dynamics of serum S-100B protein levels in a prospectively studied cohort of out-ofhospital cardiac arrest (OHCA) survivors

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Summary

Introduction

The first decade of the 21st century has witnessed explosive growth in therapies for the critically ill neurological patient. Others, such as hypothermia for the treatment of brain injury after cardiac arrest, have multiple additive and synergistic mechanisms of action that culminate in the protection of nervous tissue. It remains difficult to precisely measure the extent of neurological injury in patients affected by stroke, trauma, or cardiac arrest.

Results
Conclusion
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