Neuroprognostication after adult cardiac arrest treated with targeted temperature management: task force for Belgian recommendations
| Autor: | Fabio Silvio Taccone, Geert Meyfroidt, Michel Ossemann, Patrick Druwé, Cathy De Deyne, Ingrid Baar, Benjamin Legros, Nicolas Gaspard |
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| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Neurology Critical Care medicine.medical_treatment Neurological examination Targeted temperature management 03 medical and health sciences 0302 clinical medicine Neuroimaging Hypothermia Induced Multidisciplinary approach medicine Humans Cardiopulmonary resuscitation Intensive care medicine Neuroradiology Neurologic Examination medicine.diagnostic_test business.industry 030208 emergency & critical care medicine Multimodal therapy Recovery of Function General Medicine Prognosis Heart Arrest Hypoxia-Ischemia Brain Neurology (clinical) Human medicine business 030217 neurology & neurosurgery |
| Zdroj: | Acta neurologica Belgica |
| ISSN: | 0300-9009 |
| Popis: | The prognosis of patients who are admitted to the hospital after cardiac arrest often relies on neurological examination, which could be significantly influenced by the use of sedative drugs or the implementation of targeted temperature management. The need for early and accurate prognostication is crucial as up to 15-20% of patients could be considered as having a poor outcome and may undergo withdrawal of life-sustaining therapies while a complete neurological recovery is still possible. As current practice in Belgium is still based on a very early assessment of neurological function in these patients, the Belgian Society of Intensive Care Medicine created a multidisciplinary Task Force to provide an optimal approach for monitoring and refine prognosis of CA survivors. This Task Force underlined the importance to use a multimodal approach using several additional tools (e.g., electrophysiological tests, neuroimaging, biomarkers) and to refer cases with uncertain prognosis to specialized centers to better evaluate the extent of brain injury in these patients. |
| Databáze: | OpenAIRE |
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