Neurological Prognostication After Cardiac Arrest in the Era of Target Temperature Management

Maximiliano A. Hawkes, Alejandro Rabinstein

Research output: Contribution to journalReview article

2 Citations (Scopus)

Abstract

Purpose of Review: The purpose of this study is to provide an updated review on neurological prognostication in comatose patients after cardiac arrest in light of current targeted temperature management (TTM) strategies. Recent Findings: With improved pre-hospital and hospital care, death due to cardiac arrest is decreasing. Yet, most survivors have poor neurological outcomes. While TTM has demonstrated to improve neurological outcomes, it may cloud our prognostic accuracy. A multimodal approach is currently used to diminish prognostic uncertainty. Summary: The neurological examination remains the mainstay for prognosis after cardiac arrest. The combination electroencephalogram, somatosensory evoked potentials, and neuron-specific enolase improve prognostic accuracy, mostly in patients who underwent TTM. Quantitative analysis of pupillary reaction and EEG background variability, neuroimaging (CT perfusion and DWI-MRI), and middle/long-latency evoked potentials are promising methods that may further improve the precision of outcome prognostication.

Original languageEnglish (US)
Article number10
JournalCurrent neurology and neuroscience reports
Volume19
Issue number2
DOIs
StatePublished - Jan 1 2019

Fingerprint

Heart Arrest
Temperature
Electroencephalography
Somatosensory Evoked Potentials
Phosphopyruvate Hydratase
Neurologic Examination
Coma
Evoked Potentials
Neuroimaging
Uncertainty
Survivors
Perfusion

Keywords

  • Cardiac arrest
  • Prognosis
  • Target temperature management

ASJC Scopus subject areas

  • Neuroscience(all)
  • Clinical Neurology

Cite this

Neurological Prognostication After Cardiac Arrest in the Era of Target Temperature Management. / Hawkes, Maximiliano A.; Rabinstein, Alejandro.

In: Current neurology and neuroscience reports, Vol. 19, No. 2, 10, 01.01.2019.

Research output: Contribution to journalReview article

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