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KMID : 1100620190060040362
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Clinical and Experimental Emergency Medicine
2019 Volume.6 No. 4 p.362 ~ p.365
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Use of amplitude-integrated electroencephalography in decision-making for extracorporeal membrane oxygenation in comatose cardiac arrest patients whose eventual neurologic recovery is uncertain
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Lee Byung-Kook
Jeung Kyung-Woon
Lee Dong-Hun
Cho Young-Soo
Jung Yong-Hun
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Abstract
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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.
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KEYWORD
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Extracorporeal membrane oxygenation, Electroencephalography, Heart arrest, Prognosis
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