- 期刊
Utilization of Amplitude-Integrated Electroencephalography to Predict Neurologic Function after Resuscitation in Adults with Cardiogenic Cardiac Arrest
摘要
Background: Amplitude-integrated electroencephalography (aEEG) has been used as a tool to recognize brain activity in children with hypoxic encephalopathy. Objectives: To assess the prognostic value of aEEG during the post-resuscitation period of adult cardiogenic cardiac arrest, comatose survivors were monitored within 24 h of a return of spontaneous circulation using aEEG. Methods: Forty-two consecutive patients experiencing cardiac arrest were retrospectively enrolled, and a return of spontaneous circulation was achieved in all cases. These patients were admitted to the Coronary Intensive Care Unit due to cardiogenic cardiac arrest. The primary outcome was the best neurologic outcome within 6 months after resuscitation, and the registered patients were divided into two groups based on the Cerebral Performance Category (CPC) scale (CPC 1-2, good neurologic function group; CPC 3-5, poor neurologic function group). All patients received an aEEG examination within 24 h after a return of spontaneous circulation, and the parameters and patterns of aEEG recordings were compared. Results: Nineteen patients were in the good neurologic function group, and 23 were in the poor group. The four voltage parameters (minimum, maximum, span, average) of the aEEG recordings in the good neurologic function groups were significantly higher than in the poor group. Moreover, the continuous pattern, but not the status epilepticus or burst suppression patterns, could predict mid-term good neurologic function. Conclusions: aEEG can be used to predict neurologic outcomes based on the recordings' parameters and patterns in unconscious adults who have experienced a cardiac collapse, resuscitation, and return of spontaneous circulation.
延伸閱讀
- Huang, W. H., Ho, H. M., Lee, S. O., & Wong, C. S. (2017). Ventricular Dysrhythmia and Unstable Hemodynamics during an Emergency Subdural Hemorrhage Operation in a Chronic Alcoholic Patient: Anesthetic Management of Hypokalemia and Metabolic Alkalosis. 輔仁醫學期刊, 15(4), 209-214. https://doi.org/10.3966/181020932017121504005
- Havenon, A. D., Bennett, A., Stoddard, G. J., Smith, G., Wang, H., Wold, J., Chung, L., Tirschwell, D. L., & J.Majersik, J. (2016). Increased Blood Pressure Variability Is Associated with Worse Neurologic Outcome in Acute Anterior Circulation Ischemic Stroke. Stroke Research and Treatment, 2016(), 96-103. https://doi.org/10.1155/2016/7670161
- 陳榕生（2000）。Improved Left Ventricular Function and Reduction of Remodeling After Angiotension-Converting Enzyme Inhibitiors Therapy in Acute Myocardial Infarction。秀傳醫學雜誌，2(4)，161-165。https://www.airitilibrary.com/Article/Detail?DocID=15610497-200010-2-4-161-165-a
- Wang, W. H., Hsiao, S. H., Chiou, K. R., Liu, C. P., Huang, W. C., Lin, S. K., Kuo, F. Y., Cheng, C. C., & Lin, K. L. (2012). Limited Efficacy of Myocardial Tissue Doppler for Predicting Left Ventricular Filling Pressure, Severe Pulmonary Edema, and Respiratory Failure in Acute Myocardial Infarction. Acta Cardiologica Sinica, 28(3), 206-215. https://www.airitilibrary.com/Article/Detail?DocID=10116842-201209-201209140012-201209140012-206-215
- Cherng, Y. G., Chao, A., Shih, R. L., Lin, C. S., Chan, W. H., Huang, C. H., & Tsai, S. K. (1998). Preoperative Evaluation and Postoperative Prediction of Hemostatic Function with Thromboelastography in Patients Undergoing Redo Cardiac Surgery. Acta Anaesthesiologica Sinica, 36(4), 179-186. https://doi.org/10.6955/AAS.199812.0179