Title
Neuroprognostication in Comatose Adult Survivors of Cardiac Arrest
Authoring Organization
Publication Month/Year
March 22, 2023
Last Updated Month/Year
January 3, 2024
Document Type
Guideline
Country of Publication
US
Document Objectives
Among cardiac arrest survivors, about half remain comatose 72 h following return of spontaneous circulation (ROSC). Prognostication of poor neurological outcome in this population may result in withdrawal of life-sustaining therapy and death. The objective of this article is to provide recommendations on the reliability of select clinical predictors that serve as the basis of neuroprognostication and provide guidance to clinicians counseling surrogates of comatose cardiac arrest survivors.
Inclusion Criteria
Male, Female, Adult, Older adult
Health Care Settings
Hospital, Outpatient
Intended Users
Nurse, nurse practitioner, physician, physician assistant
Scope
Management, Rehabilitation
Keywords
cardiac arrest, coma, neuroprognostication, comatose
Source Citation
Rajajee V, Muehlschlegel S, Wartenberg KE, Alexander SA, Busl KM, Chou SHY, Creutzfeldt CJ, Fontaine GV, Fried H, Hocker SE, Hwang DY, Kim KS, Madzar D, Mahanes D, Mainali S, Meixensberger J, Montellano F, Sakowitz OW, Weimar C, Westermaier T, Varelas PN. Guidelines for Neuroprognostication in Comatose Adult Survivors of Cardiac Arrest. Neurocrit Care. 2023 Jun;38(3):533-563. doi: 10.1007/s12028-023-01688-3. Epub 2023 Mar 22. PMID: 36949360; PMCID: PMC10241762.