[Aims of rehabilitation after successful resuscitation].

Abstract

After successful resuscitation, cases of persisting neurological deficits or prolonged intensive care usually require inpatient neurological rehabilitation treatment. Depending on the severity this is either early neurological and neurosurgical rehabilitation in phase B as a continuation of acute hospital treatment or neurological rehabilitation in phase C or D. To relieve the burden on intensive care and monitoring wards in acute care hospitals, phase B often initially involves intensive care with weaning from ventilation and decannulation. In this phase, quantitative and qualitative disturbances of consciousness often occur, along with disorientation and behavioral disorders in the sense of organic psychosis or delirium. After reorientation and sufficient independence in activities of daily living, rehabilitation with a focus on the remaining individual neurological and neuropsychological deficits is then possible, which can individually be very different. This requires regular monitoring of progress and adjustment of therapy goals. Residual emotional, memory or cognitive problems after discharge from inpatient rehabilitation can often prevent return to work and can pose major challenges to home life.