Use of amplitude-integrated electroencephalography in decision-making for extracorporeal membrane oxygenation in comatose cardiac arrest patients whose eventual neurologic recovery is uncertain
- Author:
Byung Kook LEE
1
;
Kyung Woon JEUNG
;
Dong Hun LEE
;
Yong Soo CHO
;
Yong Hun JUNG
Author Information
- Publication Type:Case Report
- Keywords: Extracorporeal membrane oxygenation; Electroencephalography; Heart arrest; Prognosis
- MeSH: Brain; Coma; Electroencephalography; Extracorporeal Membrane Oxygenation; Heart Arrest; Humans; Prognosis; Shock, Cardiogenic
- From: Clinical and Experimental Emergency Medicine 2019;6(4):362-365
- CountryRepublic of Korea
- Language:English
- Abstract: Comatose cardiac arrest patients frequently experience cardiogenic shock or recurrent arrest. Extracorporeal membrane oxygenation (ECMO) can be used to salvage patients with cardiogenic shock or cardiac arrest refractory to conventional therapies. However, in comatose cardiac arrest patients whose neurologic recovery is uncertain, the use of ECMO is restricted because it requires considerable financial and human resources. Amplitude-integrated electroencephalography is an easily applicable, real-time electroencephalography monitoring tool that has been increasingly used to monitor brain activity in comatose cardiac arrest patients. We describe our experience of using amplitude-integrated electroencephalography in decision-making to place ECMO for comatose cardiac arrest patients whose eventual neurologic recovery appeared uncertain at the time of ECMO placement.
