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- W2326110400 abstract "Introduction: Electroencephalography (EEG) and processed EEG after cardiac arrest are promising techniques for early measurement of severity of brain injury early after resuscitation from cardiac arrest. We evaluated the correlation of early EEG background during monitoring with the bispectral index score - a quantitative EGG modality, measured after the first dose of neuromuscular blockade (BISi), peak neuron-specific enolase levels, and survival to hospital discharge. Hypothesis: Early raw and processed EEG findings correlate with high NSE levels and low rates of survival. Methods: Retrospective review of continuous EEG (cEEG) reports, BIS monitor data downloads, and prospectively gathered cardiac arrest registry data accumulated at a single center from 2005-2012. cEEG was intrerpreted by board-certified neurologists, and all patients received therapeutic hypothermia and post-resuscitation care according to institutional protocols. Patients that died of a non-neurological cause, were not monitored with cEEG, or died within 72 hours of admission were excluded from analysis. Results: Initial EEG background during monitoring was characterized as continuous-slowed (39/81), nonreactive (2/81), attenuated-flat (6/81), and suppression-burst (34/81). Patients with a continuous background had higher BISi values (28.5+14.5 vs. 16.5+/-17.9, P=0.006), lower peak serum NSE levels(28.9+22.4 vs. 95.9+/-183, P=0.ll) and higher survival (53% vs. 15%, P=0.002) than those whose early EEG was characterized by a background of suppression-burst. Of 5 survivors with an initial background of suppression-burst, 3 were described as CPC1 at 6 months after the event. Conclusions: Early suppression-burst EEG background tracks with a low initial BISi score, high neuron-specific enolase level, and low rate of survival to hospital discharge. Conversely, patients with a continuous, slowed background had higher BISi scores, lower NSE levels, and most survived. Routine analysis of early EEG background or processed EEG modalities may allow for rapid triage of survivors to different post-resuscitation treatment strategies based on the severity of brain injury" @default.
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- W2326110400 date "2012-12-01" @default.
- W2326110400 modified "2023-09-24" @default.
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- W2326110400 doi "https://doi.org/10.1097/01.ccm.0000424767.39910.fa" @default.
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