Indication of induced hyperthermia using somatosensory evoked potential in patients presenting with post-cardiac arrest syndrome

使用体感诱发电位对出现心脏骤停后综合征的患者进行诱导高热的指示

• 批准号: 23592685
• 负责人: MORIYA Takashi
• 金额: $ 1.08万
• 依托单位: Nihon University
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 2011
• 资助国家: 日本
• 起止时间: 2011 至 2013
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-23592685/
• 关键词: induced hypothermia; 低体温療法; 体性感覚誘発電位; 聴性脳幹誘発電位; 予後評価

Patients likely to remain in coma in spite of a return of spontaneous circulation were examined for the presence or absence of somatosensory evoked potential (SSEP) N20 before the induction of hypothermia. Prognosis was poor for all of the patients without SSEP N20. Patients with SSEP N20, on other hand, showed improvement of consciousness at a high rate. An examination to determine the presence or absence of SSEP N20 before the induction of hypothermia may be a reliable and efficient way to select cases in whom the hypothermia will be effective. The measurement of SSEP N20 before induced hypothermia and at 24 hours after a return of spontaneous circulation may be very useful for identifing the patients in whom a favorable outcome can be expected after induced hypothermia. The measurement of SSEP N20 at 24hours after a return of spontaneous circulation may allow us to identify the patients not likely to benefit from induced hypothermia.

患者可能仍然昏迷，尽管自主循环的恢复，检查是否存在或不存在的体感诱发电位（SSEP）N20的诱导前低温。无SSEP N20的患者预后差。另一方面，SSEP N20患者的意识改善率较高。在诱导低温之前进行检查以确定SSEP N20的存在或不存在可能是选择低温有效的病例的可靠且有效的方法。在诱导低温前和自主循环恢复后24小时测定SSEP N20对识别诱导低温后可预期良好结局的患者非常有用。在自主循环恢复后24小时测量SSEP N20可以使我们识别不可能从诱导低温中受益的患者。

项目成果

心停止蘇生後症候群に対する神経集中治療

心脏骤停复苏后综合征的神经强化治疗

• 发表时间: 2014
• 作者: Fujishima S;Gando S;Saito D;Takeyama N;14;守谷俊
• 通讯作者: 守谷俊

日本大学医学部 救急医学系 救急集中治療医学分野 研究業績

日本大学医学院急诊科、急诊重症医学科研究成果

Importance of SEEP as a predictor of favorable outcome in patients at 24 hours after cardiac arrest

SEEP 作为心脏骤停后 24 小时患者良好结局预测指标的重要性

• 发表时间: 2013
• 作者: Moriya T.;Sakurai A.;Kinoshita K. and Tanjoh K.
• 通讯作者: Kinoshita K. and Tanjoh K.

ER診療の実際

实际 ER 治疗

• 发表时间: 2013
• 作者: Honda T;Katano Y;Kuzuya T;Hayashi K;Ishigami M;Itoh A;Hirooka Y;Nakano I;Ishikawa T;Toyoda H;Kumada T;Yamamoto K;Matsushita T;Kojima T;Takamatsu J;Goto H;守谷 俊
• 通讯作者: 守谷 俊

Short-latency somatosensory evoked potential as predictor of favorable outcome in patients immediately after cardiac arrest and return of spontaneous circulation

短潜伏期体感诱发电位可作为心脏骤停和自主循环恢复后患者良好结局的预测因子

• 发表时间: 2013
• 作者: Sonobe T;Akiyama T;Du CK;Zha n DY;Shirai M.;Moriya T;Moriya T
• 通讯作者: Moriya T