An observational study of bispectral index monitoring for out of hospital cardiac arrest
Cerebral resuscitation is the most important goal of advanced life support. Currently, there are no objective monitoring methods available to gauge the effectiveness of advanced life support on cerebral resuscitation. We assessed the utility of bispectral index (BIS) monitoring during cardiopulmonar...
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| Veröffentlicht in: | Resuscitation 2006-05, Vol.69 (2), p.207-212 |
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| creator | Fatovich, Daniel M Jacobs, Ian G Celenza, Antonio Paech, Michael J |
| description | Cerebral resuscitation is the most important goal of advanced life support. Currently, there are no objective monitoring methods available to gauge the effectiveness of advanced life support on cerebral resuscitation. We assessed the utility of bispectral index (BIS) monitoring during cardiopulmonary resuscitation as a marker of cerebral resuscitation. Twenty one patients with out of hospital cardiac arrest had a BIS monitor applied during the resuscitation, in addition to standard advanced life support. The BIS monitor was also applied to a cadaver to assess the role of artefact. Illustrative data are presented, outlining the process of evaluation undertaken. A major component of the BIS tracing during external chest compressions appears to be due to movement artefact. Our pilot data indicate that with current technology, BIS monitoring is not a clinically reliable marker of the efficacy of external chest compressions. |
| doi_str_mv | 10.1016/j.resuscitation.2005.07.022 |
| format | Article |
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Currently, there are no objective monitoring methods available to gauge the effectiveness of advanced life support on cerebral resuscitation. We assessed the utility of bispectral index (BIS) monitoring during cardiopulmonary resuscitation as a marker of cerebral resuscitation. Twenty one patients with out of hospital cardiac arrest had a BIS monitor applied during the resuscitation, in addition to standard advanced life support. The BIS monitor was also applied to a cadaver to assess the role of artefact. Illustrative data are presented, outlining the process of evaluation undertaken. A major component of the BIS tracing during external chest compressions appears to be due to movement artefact. Our pilot data indicate that with current technology, BIS monitoring is not a clinically reliable marker of the efficacy of external chest compressions.</description><identifier>ISSN: 0300-9572</identifier><identifier>EISSN: 1873-1570</identifier><identifier>DOI: 10.1016/j.resuscitation.2005.07.022</identifier><identifier>PMID: 16378674</identifier><identifier>CODEN: RSUSBS</identifier><language>eng</language><publisher>Shannon: Elsevier Ireland Ltd</publisher><subject>Adult ; Advanced Cardiac Life Support - instrumentation ; Advanced life support ; Aged ; Aged, 80 and over ; Anaesthesia ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Biological and medical sciences ; Blood. Blood and plasma substitutes. Blood products. Blood cells. Blood typing. Plasmapheresis. Apheresis ; Brain - physiopathology ; Brain ischaemia ; Cardiac arrest ; Electroencephalography - methods ; Emergency and intensive cardiocirculatory care. Cardiogenic shock. Coronary intensive care ; External chest compression ; Female ; Heart Arrest - diagnosis ; Heart Arrest - physiopathology ; Heart Arrest - therapy ; Humans ; Intensive care medicine ; Male ; Medical sciences ; Middle Aged ; Pilot Projects ; Resuscitation ; Signal Processing, Computer-Assisted ; Transfusions. Complications. Transfusion reactions. 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Currently, there are no objective monitoring methods available to gauge the effectiveness of advanced life support on cerebral resuscitation. We assessed the utility of bispectral index (BIS) monitoring during cardiopulmonary resuscitation as a marker of cerebral resuscitation. Twenty one patients with out of hospital cardiac arrest had a BIS monitor applied during the resuscitation, in addition to standard advanced life support. The BIS monitor was also applied to a cadaver to assess the role of artefact. Illustrative data are presented, outlining the process of evaluation undertaken. A major component of the BIS tracing during external chest compressions appears to be due to movement artefact. Our pilot data indicate that with current technology, BIS monitoring is not a clinically reliable marker of the efficacy of external chest compressions.</description><subject>Adult</subject><subject>Advanced Cardiac Life Support - instrumentation</subject><subject>Advanced life support</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Anaesthesia</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Blood. Blood and plasma substitutes. Blood products. Blood cells. Blood typing. Plasmapheresis. Apheresis</subject><subject>Brain - physiopathology</subject><subject>Brain ischaemia</subject><subject>Cardiac arrest</subject><subject>Electroencephalography - methods</subject><subject>Emergency and intensive cardiocirculatory care. Cardiogenic shock. Coronary intensive care</subject><subject>External chest compression</subject><subject>Female</subject><subject>Heart Arrest - diagnosis</subject><subject>Heart Arrest - physiopathology</subject><subject>Heart Arrest - therapy</subject><subject>Humans</subject><subject>Intensive care medicine</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Pilot Projects</subject><subject>Resuscitation</subject><subject>Signal Processing, Computer-Assisted</subject><subject>Transfusions. Complications. Transfusion reactions. 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Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>Blood. Blood and plasma substitutes. Blood products. Blood cells. Blood typing. Plasmapheresis. Apheresis</topic><topic>Brain - physiopathology</topic><topic>Brain ischaemia</topic><topic>Cardiac arrest</topic><topic>Electroencephalography - methods</topic><topic>Emergency and intensive cardiocirculatory care. Cardiogenic shock. Coronary intensive care</topic><topic>External chest compression</topic><topic>Female</topic><topic>Heart Arrest - diagnosis</topic><topic>Heart Arrest - physiopathology</topic><topic>Heart Arrest - therapy</topic><topic>Humans</topic><topic>Intensive care medicine</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Pilot Projects</topic><topic>Resuscitation</topic><topic>Signal Processing, Computer-Assisted</topic><topic>Transfusions. Complications. Transfusion reactions. Cell and gene therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fatovich, Daniel M</creatorcontrib><creatorcontrib>Jacobs, Ian G</creatorcontrib><creatorcontrib>Celenza, Antonio</creatorcontrib><creatorcontrib>Paech, Michael J</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Resuscitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fatovich, Daniel M</au><au>Jacobs, Ian G</au><au>Celenza, Antonio</au><au>Paech, Michael J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>An observational study of bispectral index monitoring for out of hospital cardiac arrest</atitle><jtitle>Resuscitation</jtitle><addtitle>Resuscitation</addtitle><date>2006-05-01</date><risdate>2006</risdate><volume>69</volume><issue>2</issue><spage>207</spage><epage>212</epage><pages>207-212</pages><issn>0300-9572</issn><eissn>1873-1570</eissn><coden>RSUSBS</coden><abstract>Cerebral resuscitation is the most important goal of advanced life support. Currently, there are no objective monitoring methods available to gauge the effectiveness of advanced life support on cerebral resuscitation. We assessed the utility of bispectral index (BIS) monitoring during cardiopulmonary resuscitation as a marker of cerebral resuscitation. Twenty one patients with out of hospital cardiac arrest had a BIS monitor applied during the resuscitation, in addition to standard advanced life support. The BIS monitor was also applied to a cadaver to assess the role of artefact. Illustrative data are presented, outlining the process of evaluation undertaken. A major component of the BIS tracing during external chest compressions appears to be due to movement artefact. Our pilot data indicate that with current technology, BIS monitoring is not a clinically reliable marker of the efficacy of external chest compressions.</abstract><cop>Shannon</cop><pub>Elsevier Ireland Ltd</pub><pmid>16378674</pmid><doi>10.1016/j.resuscitation.2005.07.022</doi><tpages>6</tpages></addata></record> |
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| ispartof | Resuscitation, 2006-05, Vol.69 (2), p.207-212 |
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| subjects | Adult Advanced Cardiac Life Support - instrumentation Advanced life support Aged Aged, 80 and over Anaesthesia Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Blood. Blood and plasma substitutes. Blood products. Blood cells. Blood typing. Plasmapheresis. Apheresis Brain - physiopathology Brain ischaemia Cardiac arrest Electroencephalography - methods Emergency and intensive cardiocirculatory care. Cardiogenic shock. Coronary intensive care External chest compression Female Heart Arrest - diagnosis Heart Arrest - physiopathology Heart Arrest - therapy Humans Intensive care medicine Male Medical sciences Middle Aged Pilot Projects Resuscitation Signal Processing, Computer-Assisted Transfusions. Complications. Transfusion reactions. Cell and gene therapy |
| title | An observational study of bispectral index monitoring for out of hospital cardiac arrest |
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