Cerebral oxygenation monitoring in patients during and after cardiac arrest - a narrative review of current methods and evidence
The result's identifiers
Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00843989%3A_____%2F21%3AE0109269" target="_blank" >RIV/00843989:_____/21:E0109269 - isvavai.cz</a>
Result on the web
<a href="https://oss.signavitae.com/mre-signavitae/article/20211108-646/pdf/SV2021061701.pdf" target="_blank" >https://oss.signavitae.com/mre-signavitae/article/20211108-646/pdf/SV2021061701.pdf</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.22514/sv.2021.141" target="_blank" >10.22514/sv.2021.141</a>
Alternative languages
Result language
angličtina
Original language name
Cerebral oxygenation monitoring in patients during and after cardiac arrest - a narrative review of current methods and evidence
Original language description
Hypoxic-ischemic brain injury (HIBI) is a leading cause of mortality in post-cardiac arrest (post-CA) patients who successfully survive the initial cardiopulmonary resuscitation (CPR) but later die in the Intensive Care Unit (ICU). Therefore, a key priority of post-resuscitation ICU care is to prevent and limit the impact of HIBI by optimizing the balance between cerebral oxygen delivery and demand. Traditionally, an optimal systemic oxygen balance is considered to ensure the brain's oxygen balance. However, the validity of this assumption is uncertain, as the brain constitutes only 2% of the body mass while accounting for approximately 20% of basal oxygen consumption at rest. Hence, there is a real need to monitor cerebral oxygenation realistically. Several imaging and bedside monitoring methods are available for cerebral oxygenation monitoring in post-CA patients. Unfortunately, each of them has its limitations. Imaging methods require transporting a critically ill unstable patient to the scanner. Moreover, they provide an assessment of the oxygenation state only at a particular moment, while brain oxygenation is dynamic. Bedside methods, specifically near-infrared spectroscopy (NIRS), brain tissue oxygen tension (PbtO2), and jugular venous oxygen saturation monitoring (SjvO2), have not often been used in studies involving post-CA patients. Hence there is ambiguity regarding clear recommendations for using these bedside monitors. Presently, the most promising option seems to be using the NIRS as an indicator of effective CPR. We present a narrative review focusing on bedside methods and discuss the evidence for their use in adult patients after cardiac arrest.
Czech name
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Czech description
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Classification
Type
J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database
CEP classification
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OECD FORD branch
30221 - Critical care medicine and Emergency medicine
Result continuities
Project
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Continuities
V - Vyzkumna aktivita podporovana z jinych verejnych zdroju
Others
Publication year
2021
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Data specific for result type
Name of the periodical
Signa Vitae
ISSN
1334-5605
e-ISSN
1845-206X
Volume of the periodical
17
Issue of the periodical within the volume
6
Country of publishing house
SG - SINGAPORE
Number of pages
7
Pages from-to
18-24
UT code for WoS article
000720916200003
EID of the result in the Scopus database
2-s2.0-85120422158