Bispectral Index as a Predictive Factor for Neurological Outcome in Post-Resuscitated Patients who Undergo Hypothermia
Journal of the Korean Society of Emergency Medicine
;
: 30-36, 2011.
Artigo
em Coreano
| WPRIM
| ID: wpr-131123
ABSTRACT
PURPOSE:
Bispectral index (BIS) is a non-invasive parameter that expresses the level of consciousness using a numerical value that ranges from 0-100. It can be easily conducted at the patient bed-side throughout a day. We studied whether BIS could be used as a predictive factor for neurological outcome in patients who undergo hypothermia after cardiopulmonary resuscitation.METHODS:
The prospective study enrolled patients who underwent induced hypothermia with post-resuscitated state after cardiac arrest and presented to Chonnam National University Hospital from June, 2010 to October, 2010. BIS monitoring was conducted from admission at the intensive care unit until normal temperature was attained after the induction of hypothermia. The patients were divided into two groups based on neurological outcome at discharge and the values obtained from BIS monitoring were compared.RESULTS:
Fourteen patients were included in this study. The mortality rate was 28.6% and five patients were discharged with Glasgow Pittsburgh Cerebral Performance Categories 1 or 2. The value of BIS at the start of rewarming was significantly different between the two groups according to neurological outcome, while the value of BIS upon reaching normal temperature did not differ statistically. The significant difference between the two groups was observed in the value of BIS from 19 hours after starting hypothermia.CONCLUSION:
BIS can be used to predict the neurological outcome of patients who undergo resuscitation after cardiac arrest.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Ressuscitação
/
Estudos Prospectivos
/
Reaquecimento
/
Estado de Consciência
/
Monitores de Consciência
/
Parada Cardíaca
/
Hipotermia
/
Hipotermia Induzida
/
Unidades de Terapia Intensiva
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
/
Fatores de risco
Limite:
Humanos
Idioma:
Coreano
Revista:
Journal of the Korean Society of Emergency Medicine
Ano de publicação:
2011
Tipo de documento:
Artigo
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