Acta Neurologica Belgica

, Volume 117, Issue 1, pp 3–15

Neuroprognostication after adult cardiac arrest treated with targeted temperature management: task force for Belgian recommendations

  • Fabio Silvio Taccone
  • Ingrid Baar
  • Cathy De Deyne
  • Patrick Druwe
  • Benjamin Legros
  • Geert Meyfroidt
  • Michel Ossemann
  • Nicolas Gaspard
Consensus paper and Guideline

DOI: 10.1007/s13760-017-0755-1

Cite this article as:
Taccone, F.S., Baar, I., De Deyne, C. et al. Acta Neurol Belg (2017) 117: 3. doi:10.1007/s13760-017-0755-1

Abstract

The prognosis of patients who are admitted to the hospital after cardiac arrest often relies on neurological examination, which could be significantly influenced by the use of sedative drugs or the implementation of targeted temperature management. The need for early and accurate prognostication is crucial as up to 15–20% of patients could be considered as having a poor outcome and may undergo withdrawal of life-sustaining therapies while a complete neurological recovery is still possible. As current practice in Belgium is still based on a very early assessment of neurological function in these patients, the Belgian Society of Intensive Care Medicine created a multidisciplinary Task Force to provide an optimal approach for monitoring and refine prognosis of CA survivors. This Task Force underlined the importance to use a multimodal approach using several additional tools (e.g., electrophysiological tests, neuroimaging, biomarkers) and to refer cases with uncertain prognosis to specialized centers to better evaluate the extent of brain injury in these patients.

Keywords

Cardiac arrest Prognosis Hypothermia EEG Evoked potentials Biomarkers Neurological examination 

Copyright information

© Belgian Neurological Society 2017

Authors and Affiliations

  1. 1.Department of Intensive Care, Hôpital ErasmeUniversité Libre de Bruxelles (ULB)BrusselsBelgium
  2. 2.Department of NeurologyAntwerp University HospitalEdegemBelgium
  3. 3.Department of Anesthesiology, Intensive Care, Emergency Medicine and Pain TherapyZiekenhuis Oost-Limburg ZOLGenkBelgium
  4. 4.Department of Intensive CareGhent University HospitalGhentBelgium
  5. 5.Department of Neurology, Hôpital ErasmeUniversité Libre de Bruxelles (ULB)BrusselsBelgium
  6. 6.Department of Intensive CareUZ LeuvenLeuvenBelgium
  7. 7.Department of Neurology, CHU UCL NamurUniversité Catholique de LouvainYvoirBelgium

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