期刊
MINERVA ANESTESIOLOGICA
卷 87, 期 6, 页码 704-713出版社
EDIZIONI MINERVA MEDICA
DOI: 10.23736/S0375-9393.21.14793-5
关键词
Heart arrest; Electroencephalography; Coma
资金
- American Heart Association
- Society of Critical Care Medicine-Weil research grant
EEG monitoring is essential in neurological prognostication post-cardiac arrest, providing real-time assessment of early changes and trends indicative of neurological improvement before clinical observation of coma recovery.
Neuromonitoring with electroencephalography (EEG) is an essential tool in neurological prognostication post-cardiac arrest. EEG allows reliable and real-time assessment of early changes in background patterns, development of seizures and epileptifonn activity, as well as testing for background reactivity to stimuli despite use of sedation or targeted temperature management. Delayed emergence of consciousness post-cardiac arrest is common, therefore longitudinal monitoring of EEG allows the detection of trends indicative of neurological improvement before coma recovery can be observed clinically. In this review, we summarize essential recent literature in EEG monitoring for neurological prognostication post-cardiac arrest in the context of targeted temperature management, with a particular focus on the importance of the evolution of EEG patterns in the first few days following resuscitation.
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