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, Vol. 43, No. 4, 10.2012, p. 659-662.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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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 -