Continuous monitoring of brain perfusion by cerebral oximetry after spontaneous return of circulation in cardiac arrest: a case report
Abstract Background Cerebral resuscitation determines the prognosis for patients who have experienced sudden death, and brain protection is the focus of clinical treatment. Cerebral resuscitation depends on the timing and quality of cardiopulmonary resuscitation (CPR). At present, cerebral oxygen mo...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-09-01
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| Series: | BMC Neurology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12883-022-02880-2 |
| _version_ | 1811208616241266688 |
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| author | Heng Zhou Caiwei Lin Jiawei Liu Xudong Wang |
| author_facet | Heng Zhou Caiwei Lin Jiawei Liu Xudong Wang |
| author_sort | Heng Zhou |
| collection | DOAJ |
| description | Abstract Background Cerebral resuscitation determines the prognosis for patients who have experienced sudden death, and brain protection is the focus of clinical treatment. Cerebral resuscitation depends on the timing and quality of cardiopulmonary resuscitation (CPR). At present, cerebral oxygen monitoring is used mainly to monitor the quality of external cardiac compression and provide a prognosis for the nervous system. However, after the return of autonomous circulation, it is necessary to conduct continuous monitoring to ensure measures are taken timeously since hemodynamic instability, brain edema, and other factors may cause occult brain injury, and invasive arterial pressure cannot represent cerebral perfusion. Case presentation By using continuous cerebral oxygen monitoring after CPR and the return of spontaneous circulation, a patient who was witnessed to have experienced sudden death in the hospital was found to have insufficient cerebral perfusion; he underwent timely intra-aortic balloon counterpulsation to improve his hemodynamics and cerebral perfusion. The patient went on to achieve a good neurological prognosis. Conclusion Cerebral oxygen monitoring should be conducted throughout the treatment period; physicians should understand cerebral perfusion in real time and implement timely intervention measures to reduce occult brain injury and improve the neurological prognosis of patients. |
| first_indexed | 2024-04-12T04:25:46Z |
| format | Article |
| id | doaj.art-7bef81b3d6ac4ee39616aa7462baa7ec |
| institution | Directory Open Access Journal |
| issn | 1471-2377 |
| language | English |
| last_indexed | 2024-04-12T04:25:46Z |
| publishDate | 2022-09-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Neurology |
| spelling | doaj.art-7bef81b3d6ac4ee39616aa7462baa7ec2022-12-22T03:48:06ZengBMCBMC Neurology1471-23772022-09-012211310.1186/s12883-022-02880-2Continuous monitoring of brain perfusion by cerebral oximetry after spontaneous return of circulation in cardiac arrest: a case reportHeng Zhou0Caiwei Lin1Jiawei Liu2Xudong Wang3Department of Emergency Medicine, Aerospace Center HospitalDepartment of Emergency Medicine, Aerospace Center HospitalDepartment of Emergency Medicine, Aerospace Center HospitalDepartment of Emergency Medicine, Aerospace Center HospitalAbstract Background Cerebral resuscitation determines the prognosis for patients who have experienced sudden death, and brain protection is the focus of clinical treatment. Cerebral resuscitation depends on the timing and quality of cardiopulmonary resuscitation (CPR). At present, cerebral oxygen monitoring is used mainly to monitor the quality of external cardiac compression and provide a prognosis for the nervous system. However, after the return of autonomous circulation, it is necessary to conduct continuous monitoring to ensure measures are taken timeously since hemodynamic instability, brain edema, and other factors may cause occult brain injury, and invasive arterial pressure cannot represent cerebral perfusion. Case presentation By using continuous cerebral oxygen monitoring after CPR and the return of spontaneous circulation, a patient who was witnessed to have experienced sudden death in the hospital was found to have insufficient cerebral perfusion; he underwent timely intra-aortic balloon counterpulsation to improve his hemodynamics and cerebral perfusion. The patient went on to achieve a good neurological prognosis. Conclusion Cerebral oxygen monitoring should be conducted throughout the treatment period; physicians should understand cerebral perfusion in real time and implement timely intervention measures to reduce occult brain injury and improve the neurological prognosis of patients.https://doi.org/10.1186/s12883-022-02880-2Cerebral oximetryReturn of spontaneous circulationCardiac arrestIntra-aortic balloon pumpCase report |
| spellingShingle | Heng Zhou Caiwei Lin Jiawei Liu Xudong Wang Continuous monitoring of brain perfusion by cerebral oximetry after spontaneous return of circulation in cardiac arrest: a case report BMC Neurology Cerebral oximetry Return of spontaneous circulation Cardiac arrest Intra-aortic balloon pump Case report |
| title | Continuous monitoring of brain perfusion by cerebral oximetry after spontaneous return of circulation in cardiac arrest: a case report |
| title_full | Continuous monitoring of brain perfusion by cerebral oximetry after spontaneous return of circulation in cardiac arrest: a case report |
| title_fullStr | Continuous monitoring of brain perfusion by cerebral oximetry after spontaneous return of circulation in cardiac arrest: a case report |
| title_full_unstemmed | Continuous monitoring of brain perfusion by cerebral oximetry after spontaneous return of circulation in cardiac arrest: a case report |
| title_short | Continuous monitoring of brain perfusion by cerebral oximetry after spontaneous return of circulation in cardiac arrest: a case report |
| title_sort | continuous monitoring of brain perfusion by cerebral oximetry after spontaneous return of circulation in cardiac arrest a case report |
| topic | Cerebral oximetry Return of spontaneous circulation Cardiac arrest Intra-aortic balloon pump Case report |
| url | https://doi.org/10.1186/s12883-022-02880-2 |
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