Karunasekara N, Salib S, MacDuff A
New Cross Hospital, Wolverhampton, UK.
Royal Stoke University Hospital, Stoke-on-Trent, UK.
J Intensive Care Soc. 2016 May;17(2):168-170. doi: 10.1177/1751143715616137. Epub 2015 Nov 17.
A 51-year-old man suffered a cardiac arrest after an attempted hanging. Post-arrest assessment revealed the bilateral absence of negative 20 somatosensory evoked potentials (N20 SSEPs) which is suggestive of a poor neurological outcome. Current evidence recommends its use in prognostication. Our patient made a good recovery which brings into question the value of negative 20 somatosensory evoked potentials in prognostication with concomitant neck injuries and swelling.
一名51岁男子在试图上吊后发生心脏骤停。心脏骤停后评估显示双侧体感诱发电位N20缺失,这提示神经预后不良。目前的证据推荐将其用于预后评估。我们的患者恢复良好,这使得伴有颈部损伤和肿胀时N20体感诱发电位在预后评估中的价值受到质疑。