The prognostic value of bispectral index in patients with acute cardiopulmonary resuscitation
10.3760/cma.j.issn.1671-0282.2012.01.006
- VernacularTitle:脑电双频指数对心肺复苏术后患者预后的评估
- Author:
Han LIU
;
Ying LIU
;
Ying XU
;
Yan XUE
- Publication Type:Journal Article
- Keywords:
Bispectral index;
GCS score;
APACHE Ⅱ score;
Saturation of jugular bulb venous oxygen;
Mortality
- From:
Chinese Journal of Emergency Medicine
2012;21(1):24-27
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the prognostic role of bispectral index (BIS) monitoring in patients after cardiopulmonary resuscitation (CPR) in the intensive care unit (ICU).Methods Thirtythree adult patients after CPR were enrolled and divided into survived group and non - survived group as per 7-day survival.During their stay in the ICU,BIS and SaO2 (saturation of artery oxygen) levels of all the patients were continuously monitored.The neurological status of the patients was measured with Glasgow coma scale (GCS).Acute physiology and chronic health evaluation Ⅱ ( APACHE Ⅱ ) was used to evaluate the patient condition. SjO2 (saturation of jugular bulb venous oxygen ) levels of 23 patients were continuously monitored and then the difference in values between SaO2 and SjO2 was calculated to show oxygen metabolism in the brain. The studied variables were compared between the two groups. The correlations between BIS values and GCS scores,and between BIS and APACHE Ⅱ scores were respectively analyzed. Results The BIS values and difference in values between the SaO2 and SjO2 were significantly higher in the patients of survived group than those in the patients of non-survived group (P ＜0.01 ).There were positive correlation between BIS and GCS (r =0.821,P ＜ 0.01 ) and as well as positive correlation between BIS and APACHE- Ⅱ ( r =0.434,P ＜ 0.05 ).Conclusions The BIS may be useful to predict the post - resuscitative outcome of patients after cardiopulmonary resuscitation.
