Özbilgin Şule, Gökmen Necati
Dokuz Eylül University Faculty of Medicine, Department of Anaesthesiology and Intensive Care, İzmir, Turkey.
Turk J Anaesthesiol Reanim. 2024 May 3;52(2):49-53. doi: 10.4274/TJAR.2024.241557.
For patients monitored in intensive care units in the aftermath of a cardiac arrest, one of the well-established difficulties of care after resuscitation is the ability to perform the necessary prognostic assessments as accurately and early as possible. Although current guidelines include algorithms to determine prognosis, there are still missing links and uncertainties. Biomarkers obtained from peripheral blood are generally non-invasive and easy to obtain. Although the potential to use microRNA as a prognostic biomarker after cardiac arrest has received less interest recently, its popularity has increased in the last few years. By identifying prognostic biomarkers within 24 h of cardiac arrest, clinicians in intensive care could gain valuable insights to guide patient outcomes and predict both mortality and survival rates.
对于心脏骤停后在重症监护病房接受监测的患者,复苏后护理中一个公认的难题是能否尽早准确地进行必要的预后评估。尽管当前指南包含了确定预后的算法,但仍存在一些缺失环节和不确定性。从外周血获取的生物标志物通常是非侵入性的且易于获取。尽管近年来心脏骤停后使用微小RNA作为预后生物标志物的潜力受到的关注较少,但在过去几年中其受关注程度有所增加。通过在心脏骤停后24小时内识别预后生物标志物,重症监护病房的临床医生可以获得有价值的见解,以指导患者的治疗结果,并预测死亡率和生存率。