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

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。

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.