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Neurological prognostication after cardiac arrest-Recommendations from the Swedish Resuscitation Council.

Cronberg, Tobias LU ; Brizzi, Marco LU ; Liedholm, Lars Johan; Rosén, Ingmar LU ; Rubertsson, Sten; Rylander, Christian and Friberg, Hans LU (2013) In Resuscitation 84(7). p.867-872
Abstract
Cardiopulmonary resuscitation is started in 5000 victims of out-of-hospital cardiac arrest in Sweden each year and the survival rate is approximately 10%. The subsequent development of a global ischaemic brain injury is the major determinant of the neurological prognosis for those patients who reach the hospital alive. Induced hypothermia is a recommended treatment after cardiac arrest and has been implemented in most Swedish hospitals. Recent studies indicate that induced hypothermia may affect neurological prognostication and previous international recommendations are therefore no longer valid when hypothermia is applied. An expert group from the Swedish Resuscitation Council has reviewed the literature and made recommendations taking... (More)
Cardiopulmonary resuscitation is started in 5000 victims of out-of-hospital cardiac arrest in Sweden each year and the survival rate is approximately 10%. The subsequent development of a global ischaemic brain injury is the major determinant of the neurological prognosis for those patients who reach the hospital alive. Induced hypothermia is a recommended treatment after cardiac arrest and has been implemented in most Swedish hospitals. Recent studies indicate that induced hypothermia may affect neurological prognostication and previous international recommendations are therefore no longer valid when hypothermia is applied. An expert group from the Swedish Resuscitation Council has reviewed the literature and made recommendations taking into account the effects of induced hypothermia and concomitant sedation. A delayed neurological evaluation at 72h after rewarming is recommended for hypothermia treated patients. This evaluation should be based on several independent methods and the possibility of lingering pharmacological effects should be considered. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Resuscitation
volume
84
issue
7
pages
867 - 872
publisher
Elsevier
external identifiers
  • wos:000320997000008
  • pmid:23370163
  • scopus:84878854721
ISSN
1873-1570
DOI
10.1016/j.resuscitation.2013.01.019
language
English
LU publication?
yes
id
ae30428c-3326-44c8-a5b6-e088607fb226 (old id 3560311)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/23370163?dopt=Abstract
date added to LUP
2013-03-01 12:26:43
date last changed
2018-09-16 03:01:52
@article{ae30428c-3326-44c8-a5b6-e088607fb226,
  abstract     = {Cardiopulmonary resuscitation is started in 5000 victims of out-of-hospital cardiac arrest in Sweden each year and the survival rate is approximately 10%. The subsequent development of a global ischaemic brain injury is the major determinant of the neurological prognosis for those patients who reach the hospital alive. Induced hypothermia is a recommended treatment after cardiac arrest and has been implemented in most Swedish hospitals. Recent studies indicate that induced hypothermia may affect neurological prognostication and previous international recommendations are therefore no longer valid when hypothermia is applied. An expert group from the Swedish Resuscitation Council has reviewed the literature and made recommendations taking into account the effects of induced hypothermia and concomitant sedation. A delayed neurological evaluation at 72h after rewarming is recommended for hypothermia treated patients. This evaluation should be based on several independent methods and the possibility of lingering pharmacological effects should be considered.},
  author       = {Cronberg, Tobias and Brizzi, Marco and Liedholm, Lars Johan and Rosén, Ingmar and Rubertsson, Sten and Rylander, Christian and Friberg, Hans},
  issn         = {1873-1570},
  language     = {eng},
  number       = {7},
  pages        = {867--872},
  publisher    = {Elsevier},
  series       = {Resuscitation},
  title        = {Neurological prognostication after cardiac arrest-Recommendations from the Swedish Resuscitation Council.},
  url          = {http://dx.doi.org/10.1016/j.resuscitation.2013.01.019},
  volume       = {84},
  year         = {2013},
}