The prognostic value of cerebral oxygen saturation measurement for assessing prognosis after cardiopulmonary resuscitation

dc.authoridYILDIRIM, İLKER/0000-0002-4245-1163
dc.authorwosidYILDIRIM, İLKER/JVN-4780-2024
dc.contributor.authorInal, Mehmet Turan
dc.contributor.authorMemis, Dilek
dc.contributor.authorYildirim, Ilker
dc.contributor.authorUgur, Hueyin
dc.contributor.authorErkaymaz, Aysegul
dc.contributor.authorTuran, F. Nesrin
dc.date.accessioned2024-06-12T10:55:45Z
dc.date.available2024-06-12T10:55:45Z
dc.date.issued2017
dc.departmentTrakya Üniversitesien_US
dc.description.abstractBackground: Despite new improvements on cardiopulmonary resuscitation (CPR), brain damage is very often after resuscitation. Objective: To assess the prognostic value of cerebral oxygen saturation measurement (rSO(2)) for assessing prognosis on patients after cardiopulmonary resuscitation. Design: Retrospective analysis. Measurements and results: We analyzed 25 post-CPR patients (12 female and 13 male). All the patients were cooled to a target temperature of 33-34 degrees C. The Glascow Coma Scale (GCS), Corneal Reflexes (CR), Pupillary Reflexes (PR), arterial Base Excess (BE) and rSO(2) measurements were taken on admission. The rewarming GCS, CR, PR, BE and rSO(2) measurements were made after the patient's temperature reached 36 degrees C. Results: In survivors, the baseline rSO(2) value was 67.5 (46-70) and the percent difference between baseline and rewarming rSO(2) value was 0.03 (0.014-0.435). In non-survivors, the baseline rSO(2) value was 30 (25-65) and the percent difference between baseline and rewarming rSO(2) value was 0.031 (-0.08 to -20). No statistical difference was detected on percent changes between baseline and rewarming values of rSO(2). Statistically significant difference was detected between baseline and rewarming GCS groups (p = 0.004). No statistical difference was detected between GCS, CR, PR, BE and rSO(2) to determine the prognosis. Conclusion: Despite higher values of rSO(2) on survivors than non-survivors, we found no statistically considerable difference between groups on baseline and the rewarming rSO(2) values. Since the measurement is simple, and not affected by hypotension and hypothermia, the rSO(2) may be a useful predictor for determining the prognosis after CPR. (C) 2016 Sociedade Brasileira de Anestesiologia. Published by Elsevier Editora Ltda.en_US
dc.identifier.doi10.1016/j.bjane.2016.07.016
dc.identifier.endpage361en_US
dc.identifier.issn0034-7094
dc.identifier.issn1806-907X
dc.identifier.issue4en_US
dc.identifier.pmid28412053en_US
dc.identifier.scopus2-s2.0-85017441345en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage355en_US
dc.identifier.urihttps://doi.org/10.1016/j.bjane.2016.07.016
dc.identifier.urihttps://hdl.handle.net/20.500.14551/19545
dc.identifier.volume67en_US
dc.identifier.wosWOS:000406359100005en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Science Incen_US
dc.relation.ispartofRevista Brasileira De Anestesiologiaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectCardiopulmonary Resuscitationen_US
dc.subjectCerebral Oxygen Saturationen_US
dc.subjectPrognosisen_US
dc.subjectHospital Cardiac-Arresten_US
dc.subjectTherapeutic Hypothermiaen_US
dc.subjectComatose Survivorsen_US
dc.subjectSurgeryen_US
dc.subjectDesaturationen_US
dc.titleThe prognostic value of cerebral oxygen saturation measurement for assessing prognosis after cardiopulmonary resuscitationen_US
dc.typeArticleen_US

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