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

Claudio Sandroni, Jasmeet Soar, Hans Friberg

Risultato della ricerca: Contributo in rivistaArticolo in rivista

4 Citazioni (Scopus)


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.
Lingua originaleEnglish
pagine (da-a)104-106
Numero di pagine3
RivistaIntensive Care Medicine
Stato di pubblicazionePubblicato - 2016


  • Cardiac arrest
  • Coma
  • Outcome
  • Prognosis


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