지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한응급의학회 Clinical and Experimental Emergency Medicine Clinical and Experimental Emergency Medicine Vol.6 No.2
- 발행연도
- 2019.1
- 수록면
- 177 - 182 (6page)
이용수
초록· 키워드
오류제보하기
A 34-year-old male was brought to the hospital with a chest gunshot wound. Pulseless upon arrival, blood pressure was absent for 10 minutes. A thoracotomy resulted in return of spontaneous circulation. On hospital day 5, with brainstem reflexes present, he was unresponsive to call or pain, exhibited generalized hyperreflexia and bilateral Babinskys. Median nerve somatosensory evoked potentials (mSSEPs) and brainstem auditory evoked potentials were obtained. International Federation of Clinical Neurophysiology recommendations for mSSEPs and brainstem auditory evoked potentials were followed. Despite absence of the N20 responses from cortical mSSEPs no withdrawal from care was agreed upon. After awaking on day 7, mSSEPs were repeated and present. The patient survived and was discharged with minor deficits. Bilateral absence of N20 responses from mSSEPs performed beyond 48 hours after resuscitation from cardiac arrest is highly associated with bad neurological outcomes. However, variation due to hypothermia, noisy signals, medications, and brain hypo-perfusion must be taken into account.
목차
등록된 정보가 없습니다.
참고문헌 (15)
참고문헌 신청
Lee YC / 2010 / Accuracy of clinical signs, SEP, and EEG in predicting outcome of hypoxic coma: a meta-analysis / Neurology 74:572~580
Zandbergen EG / 1998 / Systematic review of early prediction of poor outcome in anoxic-ischaemic coma / Lancet 352:1808~1812
Bender A / 2012 / Bilateral loss of cortical SSEP responses is compatible with good outcome after cardiac arrest / J Neurol 259:2481~2483
Banoub M / 2003 / Pharmacologic and physiologic influences affecting sensory evoked potentials: implications for perioperative monitoring / Anesthesiology 99:716~737
Guerit JM / 1993 / The prognostic value of three-modality evoked potentials (TMEPs) in anoxic and traumatic comas / Neurophysiol Clin 23:209~226
Zandbergen EG / 1998 / Systematic review of early prediction of poor outcome in anoxic-ischaemic coma / Lancet 352:1808~1812
Bender A / 2012 / Bilateral loss of cortical SSEP responses is compatible with good outcome after cardiac arrest / J Neurol 259:2481~2483
Banoub M / 2003 / Pharmacologic and physiologic influences affecting sensory evoked potentials: implications for perioperative monitoring / Anesthesiology 99:716~737
Guerit JM / 1993 / The prognostic value of three-modality evoked potentials (TMEPs) in anoxic and traumatic comas / Neurophysiol Clin 23:209~226
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