Regional cerebral oxygen saturation after cardiac arrest in 60 patients—A prospective outcome study

Cerebral oximetry and return of spontaneous circulation after cardiac arrest: A systematic review and meta-analysis

“…Both Ito et al 11 and Storm et al 12 found significantly higher rSO 2 values at hospital arrival in patients with good neurological outcome, with mean rSO 2 values in patients with Cerebral Performance Category (CPC) scale 1-2 of 56 and 68%, respectively, as compared with rSO 2 in patients with CPC 3-5 of 20 and 58%, respectively. However, a recent conference abstract (Bougle A et al, Int Care Med, 2014) reported no difference in rSO 2 between CPC 1-2 (62%) and CPC 3-5 (58%) patients.…”

“…7,8 The feasibility of rSO 2 values of rSO 2 that predict ROSC 9,10 and/or neurological outcome after CA. 11,12 Moreover, rSO 2 has been recently investigated as a tool to evaluate the quality of cardiopulmonary resuscitation (CPR). 13 We undertook a systematic review of the available literature that evaluated rSO 2 to predict successful ROSC in patients suffering CA.…”

Targeted temperature management and neuroprognostication after cardiac arrest: A survey in Belgium

“…Ahn et al measured rSO 2 for 48 h postarrest in 21 patients; only during the first 24 h, median rSO 2 was significantly higher in survivors compared to non-survivors [84]. Storm et al monitored rSO 2 in 60 CA patients and found significantly lower average rSO 2 within the first 40 h after ROSC in patients with a poor outcome, but with large overlap between groups [85]. Outcome prediction by area of rSO 2 below a critical threshold of 50% within the first 2 days after arrest yielded 70% specificity and 86% sensitivity to predict poor outcome.…”

Abdominal oxygen saturation for monitoring return of spontaneous circulation in out-of-hospital cardiac arrest using near infrared spectrophometry

“…Initial measurements in patients with arrest were also low in our study, rising when spontaneous circulation was restored and systemic blood pressure was established. Studies focusing on the circulation of major organs during CPR are on the increase [25][26][27][28][29]. In this regard, although monitoring of cerebral saturation by NIRS has been projected as the only aid in determining ROSC, it has become apparent that monitoring of abdominal saturation can serve the same purpose.…”