Clin Exp Emerg Med.  2019 Dec;6(4):362-365. 10.15441/ceem.18.029.

Use of amplitude-integrated electroencephalography in decision-making for extracorporeal membrane oxygenation in comatose cardiac arrest patients whose eventual neurologic recovery is uncertain

• Lee BK
• Jeung KW
• Lee DH
• Cho YS
• Jung YH

• KMID: 2469095
• DOI: http://doi.org/10.15441/ceem.18.029

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.

Keyword

Extracorporeal membrane oxygenation; Electroencephalography; Heart arrest; Prognosis

MeSH Terms

Brain
Coma*
Electroencephalography*
Extracorporeal Membrane Oxygenation*
Heart Arrest*
Humans
Prognosis
Shock, Cardiogenic