Does this comatose survivor of cardiac arrest have a poor prognosis?

Claudio Sandroni, Jasmeet Soar, Hans Friberg

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Neurological prognostication in comatose survivors of cardiac arrest requires a multimodal approach combining clinical and diagnostic tests. Most patients with good outcomes recover consciousness within 72–120 h of arrest, and therefore the suggested timing for prognostication is 72 h from ROSC, or later. Results of earlier prognostic tests, such as status myoclonus and NSE levels, should also be considered at this time point. A careful clinical neurological examination is the cornerstone of prognostic assessment [and it should be performed after major confounders, (e.g. residual sedation,neuromuscular blockade, metabolic derangements) have been excluded.Although absent or extensormotor responses to pain are not specific for predicting a poor neurological outcome, they are highly sensitive for identifying those patients who require neurological prognostication.
Original languageEnglish
Pages (from-to)104-106
Number of pages3
JournalIntensive Care Medicine
Volume42
DOIs
Publication statusPublished - 2016

Keywords

  • Cardiac arrest
  • Coma
  • Outcome
  • Prognosis

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