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심정지 후 치료적 저체온요법 시 신경학적 예후 평가
Prognostic Assessments during Therapeutic Hypothermia after Cardiac Arrest

Journal of Neurocritical Care 2014년 7권 1호 p.16 ~ p.24

조양제(Cho Yang-Je) - 연세대학교 의과대학 세브란스병원 신경과

Abstract

Integrated post-resuscitation treatment has improved the outcome of the unconscious patients with cardiac arrest after introduction of the therapeutic hypothermia, which had shown promising results in the two pivotal randomized trials. Early assessment of neurological function and prognostication in these comatose patients has been challenging problem, and the introduction of therapeutic hypothermia made the problem more confusing. Various clinical situations, the results of the clinical neurologic examination, neurophysiologic monitoring including electroencephalography and somatosensory evoked potentials, various biomarkers, and neuroimaging can be used in predicting early prognosis. No single test is allowed to predict the prognosis with certainty, and a multimodal strategy is generally recommended. The previous practice guideline of the American Academy of Neurology in 2006 may not be appropriate anymore in the era of therapeutic hypothermia. In this review, the author introduces various neuromonitoring methods currently used in the therapeutic hypothermia and evaluate the their role in the prognostication with available evidences.

키워드

Therapeutic hypothermia, Prognostication, Cardiac arrest, Outcomes, Anoxic brain injury

KMID : 1201420140070010016

원문 및 링크아웃 정보

등재저널 정보

주제코드

주제명(Target field)

연구대상(Population)

연구참여(Sample size)

대상성별(Gender)

질병특성(Condition Category)

연구환경(Setting)

연구설계(Study Design)

연구기간(Period)

중재방법(Intervention Type)

중재명칭(Intervention Name)

키워드(Keyword)

유효성결과(Recomendation)

연구비지원(Fund Source)

근거수준평가(Evidence Hierarchy)

출판년도(Year)

참여저자수(Authors)

대표저자

DOI

KCD코드

ICD 03

건강보험코드

심정지 후 치료적 저체온요법 시 신경학적 예후 평가 Prognostic Assessments during Therapeutic Hypothermia after Cardiac Arrest

Abstract

키워드

심정지 후 치료적 저체온요법 시 신경학적 예후 평가
Prognostic Assessments during Therapeutic Hypothermia after Cardiac Arrest