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Brain monitoring after cardiac arrest

CURRENT OPINION IN CRITICAL CARE (2023)

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Article Medicine, General & Internal

Treating Rhythmic and Periodic EEG Patterns in Comatose Survivors of Cardiac Arrest

B. J. Ruijter et al.

Summary: A clinical trial tested the treatment of rhythmic and periodic EEG activity in comatose survivors of cardiac arrest. Despite suppressing abnormal EEG activity, there was no significant improvement in neurological outcomes compared to standard care, and mortality was high.

NEW ENGLAND JOURNAL OF MEDICINE (2022)

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Review Critical Care Medicine

Prediction of good neurological outcome in comatose survivors of cardiac arrest: a systematic review

Claudio Sandroni et al.

Summary: This study assessed the ability of clinical examination, blood biomarkers, electrophysiology or neuroimaging to predict good neurological outcome in comatose adult survivors from cardiac arrest. The findings suggest that certain predictors have good specificity in predicting neurological outcome within the first week after cardiac arrest, but most studies have a high risk of bias.

INTENSIVE CARE MEDICINE (2022)

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Editorial Material Critical Care Medicine

EEG monitoring after cardiac arrestY

Claudio Sandroni et al.

INTENSIVE CARE MEDICINE (2022)

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Article Critical Care Medicine

Deviations from PRx-derived optimal blood pressure are associated with mortality after cardiac arrest

Matthew P. Kirschen et al.

Summary: This study found that a greater burden of mean arterial pressure below the PRx-derived optimal level was associated with mortality after cardiac arrest. Non-survivors had a narrower range of intact cerebrovascular autoregulation than survivors.

RESUSCITATION (2022)

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Article Critical Care Medicine

Continuous versus routine EEG in patients after cardiac arrest Analysis of a randomized controlled trial (CERTA)

Valentina Urbano et al.

Summary: This analysis suggests that cEEG or repeated rEEG are related to comparable outcomes of comatose patients after cardiac arrest. Pending a prospective, large randomized trial, this finding does not support the routine use of cEEG for prognostication in this setting.

RESUSCITATION (2022)

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Editorial Material Critical Care Medicine

Monitoring cerebral oxygenation in acute brain-injured patients

Chiara Robba et al.

INTENSIVE CARE MEDICINE (2022)

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Review Critical Care Medicine

Electroencephalogram in the intensive care unit: a focused look at acute brain injury

Ayham Alkhachroum et al.

Summary: Electroencephalography (EEG) has become a widely used and highly sophisticated brain monitoring tool in intensive care unit (ICU) settings. The most common application is the management of refractory status epilepticus. Frequent seizures, including nonconvulsive status epilepticus (NCSE), are associated with worsening brain injury and outcomes. EEG has been used to identify and quantify rhythmic and periodic patterns that do not meet strict seizure criteria, and link them to pathophysiological events in critical and acute illnesses. EEG is increasingly analyzed quantitatively along with other modalities to generate innovative measurements with potential clinical relevance.

INTENSIVE CARE MEDICINE (2022)

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Article Critical Care Medicine

Neurofilament light as an outcome predictor after cardiac arrest: a post hoc analysis of the COMACARE trial

Lauri Wihersaari et al.

Summary: Plasma NfL is a reliable biomarker for predicting outcomes in comatose patients following out-of-hospital cardiac arrest, with higher mean arterial pressure (MAP) associated with lower NfL concentrations.

INTENSIVE CARE MEDICINE (2021)

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Article Clinical Neurology

American Clinical Neurophysiology Society's Standardized Critical Care EEG Terminology: 2021 Version

Lawrence J. Hirsch et al.

JOURNAL OF CLINICAL NEUROPHYSIOLOGY (2021)

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Review Critical Care Medicine

Brain injury after cardiac arrest: pathophysiology, treatment, and prognosis

Claudio Sandroni et al.

Summary: PCABI is caused by initial ischaemia and subsequent reperfusion of the brain following resuscitation, leading to coma and being the main cause of mortality and long-term disability in patients admitted to intensive care unit after cardiac arrest.

INTENSIVE CARE MEDICINE (2021)

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Article Critical Care Medicine

Goal-Directed Care Using Invasive Neuromonitoring Versus Standard of Care After Cardiac Arrest: A Matched Cohort Study*

Nicholas A. Fergusson et al.

Summary: In adult patients with return of spontaneous circulation post-cardiac arrest, targeted therapy for hypoxic ischemic brain injury may improve neurological outcomes.

CRITICAL CARE MEDICINE (2021)

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Article Critical Care Medicine

Elevated jugular venous oxygen saturation after cardiac arrest

Jaromir Richter et al.

Summary: The study found that high SjvO(2) values in OHCA patients are often associated with unfavorable outcomes and high NSE levels at 48 and 72 hours post-arrest. There is a positive correlation between CO2 levels and an increase in SjvO(2).

RESUSCITATION (2021)

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Review Neurosciences

Neurofilament Proteins as Biomarkers to Monitor Neurological Diseases and the Efficacy of Therapies

Aidong Yuan et al.

Summary: Neurofilament proteins serve as important biomarkers of neurodegeneration and neuronal injury, reflecting neuronal damage and degeneration across various neurological diseases. Measuring NfP levels in cerebrospinal fluid and blood can track disease progression, assess treatment responses, and offer novel insights into a wide range of neurological disorders in the field of neurology.

FRONTIERS IN NEUROSCIENCE (2021)

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Article Critical Care Medicine

European Resuscitation Council and European Society of Intensive Care Medicine guidelines 2021: post-resuscitation care

Jerry P. Nolan et al.

Summary: The guidelines cover a wide range of topics related to post-resuscitation care for adult patients, including diagnosis, treatment, monitoring, and management, as well as prognosis assessment, long-term recovery, and organ donation.

INTENSIVE CARE MEDICINE (2021)

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Article Medicine, General & Internal

Different Stratification of Physiological Factors Affecting Cerebral Perfusion Pressure in Hypoxic-Ischemic Brain Injury after Cardiac Arrest According to Visible or Non-Visible Primary Brain Injury: A Retrospective Observational Study

Changshin Kang et al.

Summary: The study aimed to explore the stratification of physiological factors affecting cerebral perfusion pressure in OHCA survivors. Findings showed that patients with established secondary brain injury had higher intracranial pressure and poorer blood-brain barrier status, while those with good neurological outcomes had lower intracranial pressure and stable blood-brain barrier status despite non-significant differences in other physiological factors. High signal intensity on DWI before PCA care was associated with higher intracranial pressure and poorer blood-brain barrier status.

JOURNAL OF CLINICAL MEDICINE (2021)

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Article Critical Care Medicine

Cerebral autoregulation in anoxic brain injury patients treated with targeted temperature management

Ilaria Alice Crippa et al.

Summary: This study retrospectively analyzed data from 50 cardiac arrest survivors treated with targeted temperature management, finding that altered CAR during normothermia was independently associated with poor outcome.

JOURNAL OF INTENSIVE CARE (2021)

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Article Critical Care Medicine

Cerebrovascular pressure reactivity and intracranial pressure are associated with neurologic outcome after hypoxic-ischemic brain injury

Ramani Balu et al.

Summary: This study evaluated the association of physiological parameters measured by intracranial multimodality neuromonitoring with neurologic outcome in patients with hypoxic-ischemic brain injury. The results showed that higher ICP and PRx values were associated with unfavorable neurologic outcomes, while PbtO2 showed no significant difference.

RESUSCITATION (2021)

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Article Cardiac & Cardiovascular Systems

Brain Hypoxia Is Associated With Neuroglial Injury in Humans Post-Cardiac Arrest

Ryan L. Hoiland et al.

Summary: The study quantified the impact of secondary brain hypoxia on injury to the neurovascular unit in patients with HIBI. It was found that secondary brain hypoxia is associated with de novo neuroglial injury and cerebral release of IL-6. Mitigating cerebrovascular-to-parenchymal limitations to O-2 transport is a promising therapeutic strategy for patients with HIBI with secondary brain hypoxia.

CIRCULATION RESEARCH (2021)

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Review Critical Care Medicine

Monitoring and modifying brain oxygenation in patients at risk of hypoxic ischaemic brain injury after cardiac arrest

Markus Benedikt Skrifvars et al.

Summary: This article is one of the selected reviews from the Annual Update in Intensive Care and Emergency Medicine 2021. More articles can be found online at the provided website. For further information about the Annual Update, please visit the specified link.

CRITICAL CARE (2021)

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Article Critical Care Medicine

Late awakening, prognostic factors and long-term outcome in out-of-hospital cardiac arrest - results of the prospective Norwegian Cardio-Respiratory Arrest Study (NORCAST)

Espen R. Nakstad et al.

RESUSCITATION (2020)

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Letter Critical Care Medicine

Differential pathophysiologic phenotypes of hypoxic ischemic brain injury: considerations for post-cardiac arrest trials

Ryan L. Hoiland et al.

INTENSIVE CARE MEDICINE (2020)

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Article Medicine, General & Internal

Sensitivity of Continuous Electroencephalography to Detect Ictal Activity After Cardiac Arrest

Jonathan Elmer et al.

JAMA NETWORK OPEN (2020)

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Review Critical Care Medicine

Prediction of poor neurological outcome in comatose survivors of cardiac arrest: a systematic review

Claudio Sandroni et al.

INTENSIVE CARE MEDICINE (2020)

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Article Critical Care Medicine

The Burden of Brain Hypoxia and Optimal Mean Arterial Pressure in Patients With Hypoxic Ischemic Brain Injury After Cardiac Arrest

Mypinder S. Sekhon et al.

CRITICAL CARE MEDICINE (2019)

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Editorial Material Critical Care Medicine

Cerebral oximetry in cardiac arrest: a potential role but with limitations

Claudio Sandroni et al.

INTENSIVE CARE MEDICINE (2019)

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Article Critical Care Medicine

Doppler sonography of cerebral blood flow for early prognostication after out-of-hospital cardiac arrest: DOTAC study

Sonia Rafi et al.

RESUSCITATION (2019)

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Article Critical Care Medicine

Intracranial pressure and compliance in hypoxic ischemic brain injury patients after cardiac arrest

Mypinder S. Sekhon et al.

RESUSCITATION (2019)

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Article Critical Care Medicine

A comparison of non-invasive versus invasive measures of intracranial pressure in hypoxic ischaemic brain injury after cardiac arrest

Danilo Cardim et al.

RESUSCITATION (2019)

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Article Clinical Neurology

Serum Neurofilament Light Chain for Prognosis of Outcome After Cardiac Arrest

Marion Moseby-Knappe et al.

JAMA NEUROLOGY (2019)

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Article Critical Care Medicine

Near-infrared spectroscopy after out-of-hospital cardiac arrest

Pekka Jakkula et al.

CRITICAL CARE (2019)

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Article Critical Care Medicine

Cerebral Edema After Cardiopulmonary Resuscitation: A Therapeutic Target Following Cardiac Arrest?

Erik G. Hayman et al.

NEUROCRITICAL CARE (2018)

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Article Anesthesiology

Ultrasound-tagged near-infrared spectroscopy does not disclose absent cerebral circulation in brain-dead adults

A. Caccioppola et al.

BRITISH JOURNAL OF ANAESTHESIA (2018)

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Article Clinical Neurology

Time to epileptiform activity and EEG background recovery are independent predictors after cardiac arrest

E. Westhall et al.

CLINICAL NEUROPHYSIOLOGY (2018)

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Article Clinical Neurology

The neuron specific enolase (NSE) ratio offers benefits over absolute value thresholds in post-cardiac arrest coma prognosis

Hangyul M. Chung-Esaki et al.

JOURNAL OF CLINICAL NEUROSCIENCE (2018)

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Article Critical Care Medicine

Targeting low-normal or high-normal mean arterial pressure after cardiac arrest and resuscitation: a randomised pilot trial

Pekka Jakkula et al.

INTENSIVE CARE MEDICINE (2018)

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Article Medicine, Research & Experimental

Prognostic utility of neuroinjury biomarkers in post out-of-hospital cardiac arrest (OHCA) patient management

S. S. Gul et al.

MEDICAL HYPOTHESES (2017)

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Article Critical Care Medicine

Association of brain metabolites with blood lactate and glucose levels with respect to neurological outcomes after out-of-hospital cardiac arrest: A preliminary microdialysis study

Toru Hifumi et al.

RESUSCITATION (2017)

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Article Critical Care Medicine

Low cerebral blood flow after cardiac arrest is not associated with anaerobic cerebral metabolism

Cornelia W. Hoedemaekers et al.

RESUSCITATION (2017)

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Article Critical Care Medicine

The accuracy of transcranial Doppler in excluding intracranial hypertension following acute brain injury: a multicenter prospective pilot study

Frank A. Rasulo et al.

CRITICAL CARE (2017)

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Article Critical Care Medicine

Osmotherapy With Hypertonic Saline Attenuates Global Cerebral Edema Following Experimental Cardiac Arrest via Perivascular Pool of Aquaporin-4

Shin Nakayama et al.

CRITICAL CARE MEDICINE (2016)

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Article Critical Care Medicine

What is the value of regional cerebral saturation in post-cardiac arrest patients? A prospective observational study

Cornelia Genbrugge et al.

CRITICAL CARE (2016)

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Article Cardiac & Cardiovascular Systems

Neuron-Specific Enolase as a Predictor of Death or Poor Neurological Outcome After Out-of-Hospital Cardiac Arrest and Targeted Temperature Management at 33°C and 36°C

Pascal Stammet et al.

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY (2015)

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Article Critical Care Medicine

An observational near-infrared spectroscopy study on cerebral autoregulation in post-cardiac arrest patients: Time to drop 'one-size-fits-all' hemodynamic targets?

K. Ameloot et al.

RESUSCITATION (2015)

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Article Critical Care Medicine

Are changes in cerebrovascular autoregulation following cardiac arrest associated with neurological outcome? Results of a pilot study

Paul Pham et al.

RESUSCITATION (2015)

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Article Critical Care Medicine

Survey on current practices for neurological prognostication after cardiac arrest

Hans Friberg et al.

RESUSCITATION (2015)

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Article Anesthesiology

Hypothermia after cardiac arrest does not affect serum levels of neuron-specific enolase and protein S-100b

R. Pfeifer et al.

ACTA ANAESTHESIOLOGICA SCANDINAVICA (2014)

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Article Critical Care Medicine

Regional cerebral oxygen saturation after cardiac arrest in 60 patients-A prospective outcome study

C. Storm et al.

RESUSCITATION (2014)

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Article Emergency Medicine

Neuron-specific enolase is a strong predictor of neurological outcomes in cardiac arrest survivors treated with endovascular hypothermia

Dagmar Vondrakova et al.

RESUSCITATION (2014)

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Article Critical Care Medicine

Changes in cerebral blood flow and oxygen extraction during post-resuscitation syndrome

Virginie Lemiale et al.

RESUSCITATION (2008)

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Article Clinical Neurology

Autoregulation of cerebral blood flow in patients resuscitated from cardiac arrest

C Sundgreen et al.

STROKE (2001)

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Review Medicine, General & Internal

Cerebral blood flow after cardiac arrest

G Buunk et al.

NETHERLANDS JOURNAL OF MEDICINE (2000)

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