Journal ArticleDOI
Time-dependency of sensory evoked potentials in comatose cardiac arrest survivors
Alexandra Gendo,Ludwig Kramer,Michael Häfner,G. C. Funk,Christian Zauner,Fritz Sterz,Michael Holzer,E. Bauer,Christian Madl +8 more
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TLDR
Within 24 h after ROSC there was a significant improvement in SEP, and it is recommended to allow a period of at least 24 H after cardiopulmonary resuscitation for obtaining a reliable prognosis based on SEP.Abstract:
Objective: To assess the validity of early sensory evoked potential (SEP) recording for reliable outcome prediction in comatose cardiac arrest survivors within 48 h after restoration of spontaneous circulation (ROSC). Design and setting: Prospective cohort study in a medical intensive care unit of a university hospital. Patients: Twenty-five comatose, mechanically ventilated patients following cardiopulmonary resuscitation Measurements and results: Median nerve short- and long-latency SEP were recorded 4, 12, 24, and 48 h after ROSC. Cortical N20 peak latency and cervicomedullary conduction time decreased (improved) significantly between 4, 12, and 24 h after resuscitation in 22 of the enrolled patients. There was no further change in short-latency SEP at 48 h. The cortical N70 peak was initially detectable in seven patients. The number of patients with increased N70 peak increased to 11 at 12 h and 14 at 24 h; there was no further change at 48 h. Specificity of the N70 peak latency (critical cutoff 130 ms) increased from 0.43 at 4 h to 1.0 at 24 h after ROSC. Sensitivity decreased from 1.0 at 4 h to 0.83 at 24 h after ROSC. Conclusion: Within 24 h after ROSC there was a significant improvement in SEP. Therefore we recommend allowing a period of at least 24 h after cardiopulmonary resuscitation for obtaining a reliable prognosis based on SEP.read more
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Part 8: Post-cardiac arrest care: 2015 American Heart Association guidelines update for cardiopulmonary resuscitation and emergency cardiovascular care
Clifton W. Callaway,Michael W. Donnino,Ericka L. Fink,Romergryko G. Geocadin,Eyal Golan,Karl B. Kern,Marion Leary,William J. Meurer,Mary Ann Peberdy,Trevonne M. Thompson,Janice L. Zimmerman +10 more
TL;DR: This chapter delineates instances where the AHA writing group developed recommendations that are significantly stronger or weaker than the ILCOR statements, in the context of the delivery of medical care in North America.
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Part 4: Advanced life support: 2015 International consensus on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendations
Jerry P. Nolan,Mary Fran Hazinski,Richard Aickin,Farhan Bhanji,John E. Billi,Clifton W. Callaway,Maaret Castrén,Allan R. de Caen,Jose Maria E. Ferrer,Judith Finn,Lana M. Gent,Russell E. Griffin,Sandra Iverson,Eddy Lang,Swee Han Lim,Ian Maconochie,William H. Montgomery,Peter T. Morley,Vinay M. Nadkarni,Robert W. Neumar,Nikolaos I. Nikolaou,Gavin D. Perkins,Jeffrey M. Perlman,Eunice M. Singletary,Jasmeet Soar,Andrew H. Travers,Michelle Welsford,Jonathan Wyllie,David Zideman +28 more
TL;DR: The International Liaison Committee on Resuscitation (ILCOR) Advanced Life Support (ALS) Task Force performed detailed systematic reviews based on the recommendations of the Institute of Medicine of the National Academies and using the methodological approach proposed by the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) Working Group.
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Practice parameter: prediction of outcome in comatose survivors after cardiopulmonary resuscitation (an evidence-based review): report of the Quality Standards Subcommittee of the American Academy of Neurology.
TL;DR: Pupillary light response, corneal reflexes, motor responses to pain, myoclonus status epilepticus, serum neuron-specific enolase, and somatosensory evoked potential studies can reliably assist in accurately predicting poor outcome in comatose patients after cardiopulmonary resuscitation for cardiac arrest.
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Part 8: Advanced Life Support: 2010 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations
Laurie J. Morrison,Charles D. Deakin,Peter T. Morley,Peter T. Morley,Clifton W. Callaway,Richard E. Kerber,Steven L. Kronick,Eric J. Lavonas,Mark S. Link,Robert W. Neumar,Charles W. Otto,Michael Parr,Michael Shuster,Kjetil Sunde,Mary Ann Peberdy,Wanchun Tang,Terry L. Vanden Hoek,Bernd W. Böttiger,Saul Drajer,Swee Han Lim,Jerry P. Nolan +20 more
TL;DR: Part 8 : Advanced life support : 2010 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations with treatment Recommendations.
Journal ArticleDOI
Predictors of Neurologic Outcome in Hypothermia after Cardiac Arrest
Jennifer E. Fugate,Eelco F. M. Wijdicks,Jay Mandrekar,Daniel O. Claassen,Edward M. Manno,Roger D. White,Malcolm R. Bell,Alejandro A. Rabinstein +7 more
TL;DR: To evaluate the predictive value of neurologic prognostic indicators for patients treated with hypothermia after surviving cardiopulmonary arrest, a large number of indicators were found to be positive.