Is bispectral index (BIS) monitoring in the emergency department helpful for prognostication during resuscitation of cardiac arrest patients?:

Proceedings of Singapore Healthcare

Chin SiahLim¹ 

关键词: Bispectral index;    cardiac arrest;    cerebral performance;    emergency department;    hypothermia;    neurological recovery;    prognosis;    resuscitation;    return of spontaneous circulation;   

DOI  :  10.1177/2010105815623293

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Objective:It has been suggested that bispectral index (BIS) can be indicative of cerebral perfusion during advanced cardiac life support (ACLS) resuscitation of cardiac arrest patients. Our aim was to determine whether BIS monitoring during resuscitation in the emergency department (ED) can predict survival or neurological outcomes of patients with cardiac arrest.Methods:This was a prospective, single-centre, observational cohort study in the ED of a tertiary hospital, where we included 100 patients whom received resuscitation in the ED between December 2010 and March 2014. We recorded BIS values, suppression ratio, electromyography and signal quality index; throughout the resuscitation. A research coordinator set up the monitoring apparatus at the earliest time possible.Results:Out of the 100 patients recruited, 22 had a sustained return of spontaneous circulation (ROSC) and were admitted to the intensive care unit (ICU). Of these, 19 patients subsequently died in the ICU, two were discharged with good n...

【 授权许可】

CC BY