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脑电图在 ICU 中缺氧缺血性脑损伤预后预测中的价值:叙述性综述。

Value of EEG in outcome prediction of hypoxic-ischemic brain injury in the ICU: A narrative review.

机构信息

Department of Critical Care, Radboud University Nijmegen Medical Center, Nijmegen, the Netherlands.

Department of Clinical Neurophysiology, Technical Medical Center, University of Twente, Enschede, the Netherlands; Department of Neurology, Rijnstate Hospital, Arnhem, the Netherlands.

出版信息

Resuscitation. 2023 Aug;189:109900. doi: 10.1016/j.resuscitation.2023.109900. Epub 2023 Jul 5.

Abstract

Prognostication of comatose patients after cardiac arrest aims to identify patients with a large probability of favourable or unfavouble outcome, usually within the first week after the event. Electroencephalography (EEG) is a technique that is increasingly used for this purpose and has many advantages, such as its non-invasive nature and the possibility to monitor the evolution of brain function over time. At the same time, use of EEG in a critical care environment faces a number of challenges. This narrative review describes the current role and future applications of EEG for outcome prediction of comatose patients with postanoxic encephalopathy.

摘要

心脏骤停后昏迷患者的预后预测旨在识别出具有良好或不良预后的可能性较大的患者,通常是在事件发生后的第一周内。脑电图(EEG)是一种越来越多地用于此目的的技术,具有许多优点,例如它的非侵入性和监测大脑功能随时间演变的可能性。同时,脑电图在重症监护环境中的使用面临着许多挑战。本叙述性综述描述了脑电图在预测缺氧性脑病昏迷患者预后中的当前作用和未来应用。

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