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Prognostication of Coma After Cardiac Arrest and Therapeutic Hypothermia

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Annual Update in Intensive Care and Emergency Medicine 2013

Part of the book series: Annual Update in Intensive Care and Emergency Medicine ((AUICEM))

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Abstract

Following the introduction of therapeutic hypothermia and the implementation of standardized post-resuscitation care, the number of patients who survive from coma after cardiac arrest has significantly increased [1]. Previous to use of therapeutic hypothermia, clinical neurological examination at 72 hours was considered the gold standard for outcome prognostication of coma after cardiac arrest [2]. However, therapeutic hypothermia and the drugs used to induce therapeutic cooling alter drug elimination and may significantly modify neurological (mainly motor) response [3, 4], thereby rendering clinical examination less reliable and potentially insufficient, when used alone, to adequately predict the prognosis of coma after cardiac arrest.

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Authors and Affiliations

  1. Department of Critical Care Medicine, CHUV-Lausanne University Hospital and Faculty of Biology and Medicine, University of Lausanne, Rue du Bugnon 46, BH 08.623, 1011, Lausanne, Switzerland

    M. Oddo

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  1. M. Oddo
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Correspondence to M. Oddo .

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Editors and Affiliations

  1. Erasme Hospital, Université libre de Bruxelles, Brussels, Belgium

    Jean-Louis Vincent Prof.

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Oddo, M. (2013). Prognostication of Coma After Cardiac Arrest and Therapeutic Hypothermia. In: Vincent, JL. (eds) Annual Update in Intensive Care and Emergency Medicine 2013. Annual Update in Intensive Care and Emergency Medicine. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-35109-9_29

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  • DOI: https://doi.org/10.1007/978-3-642-35109-9_29

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-35108-2

  • Online ISBN: 978-3-642-35109-9

  • eBook Packages: MedicineMedicine (R0)

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