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Neuroprognostication after adult cardiac arrest treated with targeted temperature management: task force for Belgian recommendations.

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Taccone, Fabio Silvio Baar, Ingrid De Deyne, Cathy Druwe, Patrick Legros, Benjamin Ossemann, Michel [UCL] Gaspard, Nicolas

The prognosis of patients who are admitted to the hospital after cardiac arrest often relies on neurological examination, which could be significantly influenced by the use of sedative drugs or the implementation of targeted temperature management. The need for early and accurate prognostication is crucial as up to 15-20% of patients could be considered as having a poor outcome and may undergo withdrawal of life-sustaining therapies while a complete neurological recovery is still possible. As current practice in Belgium is still based on a very early assessment of neurological function in these patients, the Belgian Society of Intensive Care Medicine created a multidisciplinary Task Force to provide an optimal approach for monitoring and refine prognosis of CA survivors. This Task Force underlined the importance to use a multimodal approach using several additional tools (e.g., electrophysiological tests, neuroimaging, biomarkers) and to refer cases with uncertain prognosis to specialized centers to better evaluate the extent of brain injury in these patients.

Document type Article de périodique (Journal article) – Synthèse de littérature
Access type Accès restreint
Publication date 2017
Language Anglais
Journal information "Acta Neurologica Belgica" - Vol. 117, no. 1, p. 3-15 (2017)
Peer reviewed yes
Publisher Springer ((Italy) Milano)
issn 0300-9009
e-issn 2240-2993
Publication status Publié
Affiliations UCL - SSS/IREC/MONT-Pôle Mont Godinne
UCL - (MGD) Service de neurologie
UCL - SSS/IONS/NEUR - Clinical Neuroscience
Keywords Biomarkers; Cardiac arrest; EEG; Evoked potentials; Hypothermia; Neurological examination; Prognosis
Links
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Bibliographic reference Taccone, Fabio Silvio ; Baar, Ingrid ; De Deyne, Cathy ; Druwe, Patrick ; Legros, Benjamin ; et. al. Neuroprognostication after adult cardiac arrest treated with targeted temperature management: task force for Belgian recommendations.. In: Acta Neurologica Belgica, Vol. 117, no. 1, p. 3-15 (2017)
Permanent URL http://hdl.handle.net/2078.1/182408