2021
DOI: 10.23736/s0375-9393.21.14793-5
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A matter of timing: EEG monitoring for neurological prognostication after cardiac arrest in the era of targeted temperature management

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Cited by 7 publications
(5 citation statements)
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“…46 Khazanova et al reviewed the literature on eeg monitoring for neurological prognostication after cardiac arrest. 47 the authors highlighted that temporal evolution was a fundamental aspect of eeg interpretation because patterns associated with irreversible brain injury were occasionally observed in patients who achieved a good outcome. indeed, eeg monitoring acquired greater value if incorporated into a multimodal prognostication approach.…”
Section: Respirationmentioning
confidence: 99%
“…46 Khazanova et al reviewed the literature on eeg monitoring for neurological prognostication after cardiac arrest. 47 the authors highlighted that temporal evolution was a fundamental aspect of eeg interpretation because patterns associated with irreversible brain injury were occasionally observed in patients who achieved a good outcome. indeed, eeg monitoring acquired greater value if incorporated into a multimodal prognostication approach.…”
Section: Respirationmentioning
confidence: 99%
“…3,4 Cardiac arrest is one of the few medical conditions in which continuous brain monitoring with EEG is routinely started within a few hours from coma onset. 5,6 This feature of current clinical practice affords the unique opportunity to observe the longitudinal evolution of the neurophysiology of coma recovery before neurologic improvement is perceptible to clinicians, creating new avenues for studying coma neuroscience at a scale and resolution not possible for other acute coma etiologies. 5,[7][8][9] Coma neurophysiology research using EEG for chronic disorders of consciousness and general anesthesia has provided critical insights about the evolution of neural processes involved in conscious awareness.…”
Section: Introductionmentioning
confidence: 99%
“…5,8,9,18 These patterns are associated with poor neurologic outcomes, but some patients may recover despite injury causing this type of physiology. 6,19,20 To advance the current management of acute brain injury and identify patients with potential for coma recovery despite unfavorable EEG patterns, we must understand the wide range of concurrent neurophysiologic processes contributing to acute coma soon after brain injury and their temporal changes.…”
Section: Introductionmentioning
confidence: 99%
“…Clinicians are typically asked during the first few days following cardiac arrest to monitor for seizures and offer a prognosis, i.e., determine the probability that the patient will have a poor outcome or eventually recover neurological function. Many abnormal EEG patterns seen in these patients do not meet criteria for electrographic seizures, but they may lay in the ictal interictal continuum and may require specific management guided by the EEG data (4). A poor prognosis prediction typically leads to the withdrawal of life sustaining therapies and death (5).…”
Section: Introductionmentioning
confidence: 99%