Clinical neurophysiology for neurological prognostication of comatose patients after cardiac arrest
نویسندگان
چکیده
منابع مشابه
Neurological prognostication after cardiac arrest
The care of the comatose cardiac arrest patient and his/her relatives in the ICU constitutes a major challenge for intensivists. Out-of-hospital cardiac arrest (OHCA) affects more than 275.000 Europeans yearly; survival rates are disturbingly low and have until recently remained unchanged [1]. During the last several years, significant efforts have been made to improve the quality of prehospita...
متن کاملPrognostication and management of patients who are comatose after cardiac arrest.
The development of cardiopulmonary resuscitation by Peter Safar and others has had the unintended consequence of increasing the number of patients surviving in coma from hypoxic-ischemic encephalopathy. Neurologists often assess the prognosis for functional recovery of these patients, communicate this prognostic information to the patient’s family, and help manage the patient through the initia...
متن کاملPrognostication after out-of-hospital cardiac arrest, a clinical survey
BACKGROUND Numerous parameters and tests have been proposed for outcome prediction in comatose out-of-hospital cardiac arrest survivors. We conducted a survey of clinical practice of prognostication after therapeutic hypothermia (TH) became common practice in Norway. METHODS By telephone, we interviewed the consultants who were in charge of the 25 ICUs admitting cardiac patients using 6 struc...
متن کاملElectroencephalography (EEG) for neurological prognostication after cardiac arrest and targeted temperature management; rationale and study design
BACKGROUND Electroencephalography (EEG) is widely used to assess neurological prognosis in patients who are comatose after cardiac arrest, but its value is limited by varying definitions of pathological patterns and by inter-rater variability. The American Clinical Neurophysiology Society (ACNS) has recently proposed a standardized EEG-terminology for critical care to address these limitations....
متن کاملTherapeutic hypothermia for comatose survivors after cardiac arrest.
BACKGROUND Unconscious adults with spontaneous circulation after out-of-hospital cardiac arrest should be cooled to 32-34 degrees C (ILCOR recommendations, 2003) when the initial rhythm is ventricular fibrillation. OBJECTIVES To assess the technique, safety and efficacy of mild induced hypothermia in patients after OHCA due to VF. METHODS Patients were cooled using the MTRE CritiCool extern...
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ژورنال
عنوان ژورنال: Clinical Neurophysiology Practice
سال: 2017
ISSN: 2467-981X
DOI: 10.1016/j.cnp.2017.03.001