Electroencephalography during out-of-hospital cardiopulmonary resuscitation

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Electroencephalography during out-of-hospital cardiopulmonary resuscitation. / Nitzschke, Rainer; Schmidt, Gunter Niels.

in: J EMERG MED, Jahrgang 43, Nr. 4, 10.2012, S. 659-662.

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@article{974ee7b4c163432ab7c8e339de3b3f5b,
title = "Electroencephalography during out-of-hospital cardiopulmonary resuscitation",
abstract = "BACKGROUND: At the present time there is no parameter that can estimate the quality of cerebral perfusion and possible success of cerebral resuscitation during advanced cardiac life support (ACLS) efforts. In recent years, various attempts have been made to use electroencephalography (EEG)-based cerebral neuromonitoring to assess the effectiveness of cardiopulmonary resuscitation (CPR).OBJECTIVES: The Cerebral State Monitor M3 (Danmeter A/S, Odense, Denmark) is a portable, single-channel EEG monitor that provides the user with different EEG-based parameters and the raw waveform EEG to measure cerebral activity.CASE REPORT: We report two cases of out-of-hospital CPR with single-channel EEG monitoring conducted parallel to ACLS with external chest compressions. We demonstrate an artifact in waveform EEG recordings that is caused by the external chest compressions, and that leads to a miscalculation of the Burst Suppression Ratio and Cerebral State Index.CONCLUSION: These cases suggest that digitally processed EEG-monitoring is not a useful tool during CPR.",
keywords = "Adult, Advanced Cardiac Life Support, Aged, Artifacts, Cerebrum/blood supply, Consciousness Monitors, Electroencephalography, Female, Humans, Male, Out-of-Hospital Cardiac Arrest/physiopathology",
author = "Rainer Nitzschke and Schmidt, {Gunter Niels}",
note = "Copyright {\textcopyright} 2012 Elsevier Inc. All rights reserved.",
year = "2012",
month = oct,
doi = "10.1016/j.jemermed.2010.05.098",
language = "English",
volume = "43",
pages = "659--662",
journal = "J EMERG MED",
issn = "0736-4679",
publisher = "Elsevier USA",
number = "4",

}

RIS

TY - JOUR

T1 - Electroencephalography during out-of-hospital cardiopulmonary resuscitation

AU - Nitzschke, Rainer

AU - Schmidt, Gunter Niels

N1 - Copyright © 2012 Elsevier Inc. All rights reserved.

PY - 2012/10

Y1 - 2012/10

N2 - BACKGROUND: At the present time there is no parameter that can estimate the quality of cerebral perfusion and possible success of cerebral resuscitation during advanced cardiac life support (ACLS) efforts. In recent years, various attempts have been made to use electroencephalography (EEG)-based cerebral neuromonitoring to assess the effectiveness of cardiopulmonary resuscitation (CPR).OBJECTIVES: The Cerebral State Monitor M3 (Danmeter A/S, Odense, Denmark) is a portable, single-channel EEG monitor that provides the user with different EEG-based parameters and the raw waveform EEG to measure cerebral activity.CASE REPORT: We report two cases of out-of-hospital CPR with single-channel EEG monitoring conducted parallel to ACLS with external chest compressions. We demonstrate an artifact in waveform EEG recordings that is caused by the external chest compressions, and that leads to a miscalculation of the Burst Suppression Ratio and Cerebral State Index.CONCLUSION: These cases suggest that digitally processed EEG-monitoring is not a useful tool during CPR.

AB - BACKGROUND: At the present time there is no parameter that can estimate the quality of cerebral perfusion and possible success of cerebral resuscitation during advanced cardiac life support (ACLS) efforts. In recent years, various attempts have been made to use electroencephalography (EEG)-based cerebral neuromonitoring to assess the effectiveness of cardiopulmonary resuscitation (CPR).OBJECTIVES: The Cerebral State Monitor M3 (Danmeter A/S, Odense, Denmark) is a portable, single-channel EEG monitor that provides the user with different EEG-based parameters and the raw waveform EEG to measure cerebral activity.CASE REPORT: We report two cases of out-of-hospital CPR with single-channel EEG monitoring conducted parallel to ACLS with external chest compressions. We demonstrate an artifact in waveform EEG recordings that is caused by the external chest compressions, and that leads to a miscalculation of the Burst Suppression Ratio and Cerebral State Index.CONCLUSION: These cases suggest that digitally processed EEG-monitoring is not a useful tool during CPR.

KW - Adult

KW - Advanced Cardiac Life Support

KW - Aged

KW - Artifacts

KW - Cerebrum/blood supply

KW - Consciousness Monitors

KW - Electroencephalography

KW - Female

KW - Humans

KW - Male

KW - Out-of-Hospital Cardiac Arrest/physiopathology

U2 - 10.1016/j.jemermed.2010.05.098

DO - 10.1016/j.jemermed.2010.05.098

M3 - SCORING: Journal article

C2 - 20828974

VL - 43

SP - 659

EP - 662

JO - J EMERG MED

JF - J EMERG MED

SN - 0736-4679

IS - 4

ER -