[The prognostic value of cerebral oxygen saturation measurement for assessing prognosis after cardiopulmonary resuscitation].

Item request has been placed! ×
Item request cannot be made. ×
loading   Processing Request
Read More Add to Saved list
  • Additional Information
    • Transliterated Title:
      O valor da medida da saturação cerebral de oxigênio para avaliar o prognóstico após ressuscitação cardiopulmonar.
    • Source:
      Publisher: Elsevier Editora Ltda. em nome de Sociedade Brasileira de Anestesiologia Country of Publication: Brazil NLM ID: 0401316 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1806-907X (Electronic) Linking ISSN: 00347094 NLM ISO Abbreviation: Rev Bras Anestesiol Subsets: MEDLINE
    • Publication Information:
      Publication: [Rio de Janeiro, Brazil] : Elsevier Editora Ltda. em nome de Sociedade Brasileira de Anestesiologia
      Original Publication: Rio de Janeiro : Sociedade Brasileira de Anestesiologia
    • Subject Terms:
      Cardiopulmonary Resuscitation* ; Oximetry* ; Oxygen Consumption*; Brain/*metabolism; Adult ; Aged ; Aged, 80 and over ; Female ; Humans ; Male ; Middle Aged ; Prognosis ; Retrospective Studies ; Young Adult
    • Abstract:
      Background: Despite new improvements on cardiopulmonary resuscitation (CPR), brain damage is very often after resuscitation.
      Objective: To assess the prognostic value of cerebral oxygen saturation measurement (rSO 2 ) for assessing prognosis on patients after cardiopulmonary resuscitation.
      Design: Retrospective analysis.
      Measurements and Results: We analyzed 25 post-CPR patients (12 female and 13 male). All the patients were cooled to a target temperature of 33-34°C. The Glascow Coma Scale (GCS), Corneal Reflexes (CR), Pupillary Reflexes (PR), arterial Base Excess (BE) and rSO 2 measurements were taken on admission. The rewarming GCS, CR, PR, BE and rSO 2 measurements were made after the patient's temperature reached 36°C.
      Results: In survivors, the baseline rSO 2 value was 67.5 (46-70) and the percent difference between baseline and rewarming rSO 2 value was 0.03 (0.014-0.435). In non-survivors, the baseline rSO 2 value was 30 (25-65) and the percent difference between baseline and rewarming rSO 2 value was 0.031 (-0.08 to -20). No statistical difference was detected on percent changes between baseline and rewarming values of rSO 2. Statistically significant difference was detected between baseline and rewarming GCS groups (p=0.004). No statistical difference was detected between GCS, CR, PR, BE and rSO 2 to determine the prognosis.
      Conclusion: Despite higher values of rSO 2 on survivors than non-survivors, we found no statistically considerable difference between groups on baseline and the rewarming rSO 2 values. Since the measurement is simple, and not affected by hypotension and hypothermia, the rSO 2 may be a useful predictor for determining the prognosis after CPR.
      (Copyright © 2016 Sociedade Brasileira de Anestesiologia. Publicado por Elsevier Editora Ltda. All rights reserved.)
    • Contributed Indexing:
      Keywords: Cardiopulmonary resuscitation; Cerebral oxygen saturation; Prognosis; Prognóstico; Reanimação cardiopulmonar; Saturação de oxigênio cerebral
    • Publication Date:
      Date Created: 20170417 Date Completed: 20190509 Latest Revision: 20190509
    • Publication Date:
      20231215
    • Accession Number:
      10.1016/j.bjan.2016.07.008
    • Accession Number:
      28412053