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Published in: Intensive Care Medicine 10/2022

Open Access 26-04-2022 | Hypoxic-Ischemic Brain Injury | Special issue insight

EEG monitoring after cardiac arrest

Authors: Claudio Sandroni, Tobias Cronberg, Jeannette Hofmeijer

Published in: Intensive Care Medicine | Issue 10/2022

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Excerpt

Hypoxic–ischaemic brain injury (HIBI) is the main cause of death and disability in patients who are comatose after return of spontaneous circulation (ROSC) from cardiac arrest [1]. The electroencephalogram (EEG) is a useful tool to assess the severity of HIBI and provide prognostic information. In addition, EEG can be used to diagnose epileptiform activity in patients with suspected seizures and monitor the effectiveness of antiepileptic treatment. …
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Literature
1.
go back to reference Sandroni C, Cronberg T, Sekhon M (2021) Brain injury after cardiac arrest: pathophysiology, treatment, and prognosis. Intensive Care Med 47:1393–1414CrossRef Sandroni C, Cronberg T, Sekhon M (2021) Brain injury after cardiac arrest: pathophysiology, treatment, and prognosis. Intensive Care Med 47:1393–1414CrossRef
2.
go back to reference Friberg H, Cronberg T, Dunser MW, Duranteau J, Horn J, Oddo M (2015) Survey on current practices for neurological prognostication after cardiac arrest. Resuscitation 90:158–162CrossRef Friberg H, Cronberg T, Dunser MW, Duranteau J, Horn J, Oddo M (2015) Survey on current practices for neurological prognostication after cardiac arrest. Resuscitation 90:158–162CrossRef
3.
go back to reference Hirsch LJ, Fong MWK, Leitinger M, LaRoche SM, Beniczky S, Abend NS, Lee JW, Wusthoff CJ, Hahn CD, Westover MB, Gerard EE, Herman ST, Haider HA, Osman G, Rodriguez-Ruiz A, Maciel CB, Gilmore EJ, Fernandez A, Rosenthal ES, Claassen J, Husain AM, Yoo JY, So EL, Kaplan PW, Nuwer MR, van Putten M, Sutter R, Drislane FW, Trinka E, Gaspard N (2021) American Clinical Neurophysiology Society’s standardized critical care EEG terminology: 2021 version. J Clin Neurophysiol Off Publ Am Electroencephalogr Soc 38:1–29 Hirsch LJ, Fong MWK, Leitinger M, LaRoche SM, Beniczky S, Abend NS, Lee JW, Wusthoff CJ, Hahn CD, Westover MB, Gerard EE, Herman ST, Haider HA, Osman G, Rodriguez-Ruiz A, Maciel CB, Gilmore EJ, Fernandez A, Rosenthal ES, Claassen J, Husain AM, Yoo JY, So EL, Kaplan PW, Nuwer MR, van Putten M, Sutter R, Drislane FW, Trinka E, Gaspard N (2021) American Clinical Neurophysiology Society’s standardized critical care EEG terminology: 2021 version. J Clin Neurophysiol Off Publ Am Electroencephalogr Soc 38:1–29
4.
go back to reference Sandroni C, D’Arrigo S, Cacciola S, Hoedemaekers CWE, Westhall E, Kamps MJA, Taccone FS, Poole D, Meijer FJA, Antonelli M, Hirsch KG, Soar J, Nolan JP, Cronberg T (2022) Prediction of good neurological outcome in comatose survivors of cardiac arrest: a systematic review. Intensive Care Med 48:389–413CrossRef Sandroni C, D’Arrigo S, Cacciola S, Hoedemaekers CWE, Westhall E, Kamps MJA, Taccone FS, Poole D, Meijer FJA, Antonelli M, Hirsch KG, Soar J, Nolan JP, Cronberg T (2022) Prediction of good neurological outcome in comatose survivors of cardiac arrest: a systematic review. Intensive Care Med 48:389–413CrossRef
5.
go back to reference Westhall E, Rosen I, Rundgren M, Bro-Jeppesen J, Kjaergaard J, Hassager C, Lindehammar H, Horn J, Ullen S, Nielsen N, Friberg H, Cronberg T (2018) Time to epileptiform activity and EEG background recovery are independent predictors after cardiac arrest. Clin Neurophysiol Off J Int Fed Clin Neurophysiol 129:1660–1668CrossRef Westhall E, Rosen I, Rundgren M, Bro-Jeppesen J, Kjaergaard J, Hassager C, Lindehammar H, Horn J, Ullen S, Nielsen N, Friberg H, Cronberg T (2018) Time to epileptiform activity and EEG background recovery are independent predictors after cardiac arrest. Clin Neurophysiol Off J Int Fed Clin Neurophysiol 129:1660–1668CrossRef
6.
go back to reference Sandroni C, D’Arrigo S, Cacciola S, Hoedemaekers CWE, Kamps MJA, Oddo M, Taccone FS, Di Rocco A, Meijer FJA, Westhall E, Antonelli M, Soar J, Nolan JP, Cronberg T (2020) Prediction of poor neurological outcome in comatose survivors of cardiac arrest: a systematic review. Intensive Care Med 46:1803–1851CrossRef Sandroni C, D’Arrigo S, Cacciola S, Hoedemaekers CWE, Kamps MJA, Oddo M, Taccone FS, Di Rocco A, Meijer FJA, Westhall E, Antonelli M, Soar J, Nolan JP, Cronberg T (2020) Prediction of poor neurological outcome in comatose survivors of cardiac arrest: a systematic review. Intensive Care Med 46:1803–1851CrossRef
7.
go back to reference Westhall E, Rosen I, Rossetti AO, van Rootselaar AF, WesenbergKjaer T, Friberg H, Horn J, Nielsen N, Ullen S, Cronberg T (2015) Interrater variability of EEG interpretation in comatose cardiac arrest patients. Clin Neurophysiol Off J Int Fed Clin Neurophysiol 126:2397–2404CrossRef Westhall E, Rosen I, Rossetti AO, van Rootselaar AF, WesenbergKjaer T, Friberg H, Horn J, Nielsen N, Ullen S, Cronberg T (2015) Interrater variability of EEG interpretation in comatose cardiac arrest patients. Clin Neurophysiol Off J Int Fed Clin Neurophysiol 126:2397–2404CrossRef
8.
go back to reference Lamartine Monteiro M, Taccone FS, Depondt C, Lamanna I, Gaspard N, Ligot N, Mavroudakis N, Naeije G, Vincent JL, Legros B (2016) The prognostic value of 48-h continuous EEG during therapeutic hypothermia after cardiac arrest. Neurocrit Care 24:153–162CrossRef Lamartine Monteiro M, Taccone FS, Depondt C, Lamanna I, Gaspard N, Ligot N, Mavroudakis N, Naeije G, Vincent JL, Legros B (2016) The prognostic value of 48-h continuous EEG during therapeutic hypothermia after cardiac arrest. Neurocrit Care 24:153–162CrossRef
9.
go back to reference Ruijter BJ, Tjepkema-Cloostermans MC, Tromp SC, van den Bergh WM, Foudraine NA, Kornips FHM, Drost G, Scholten E, Bosch FH, Beishuizen A, van Putten M, Hofmeijer J (2019) Early electroencephalography for outcome prediction of postanoxic coma: a prospective cohort study. Ann Neurol 86:203–214CrossRef Ruijter BJ, Tjepkema-Cloostermans MC, Tromp SC, van den Bergh WM, Foudraine NA, Kornips FHM, Drost G, Scholten E, Bosch FH, Beishuizen A, van Putten M, Hofmeijer J (2019) Early electroencephalography for outcome prediction of postanoxic coma: a prospective cohort study. Ann Neurol 86:203–214CrossRef
10.
go back to reference Nolan JP, Sandroni C, Bottiger BW, Cariou A, Cronberg T, Friberg H, Genbrugge C, Haywood K, Lilja G, Moulaert VRM, Nikolaou N, Olasveengen TM, Skrifvars MB, Taccone F, Soar J (2021) European Resuscitation Council and European Society of Intensive Care Medicine guidelines 2021: post-resuscitation care. Intensive Care Med 47:369–421CrossRef Nolan JP, Sandroni C, Bottiger BW, Cariou A, Cronberg T, Friberg H, Genbrugge C, Haywood K, Lilja G, Moulaert VRM, Nikolaou N, Olasveengen TM, Skrifvars MB, Taccone F, Soar J (2021) European Resuscitation Council and European Society of Intensive Care Medicine guidelines 2021: post-resuscitation care. Intensive Care Med 47:369–421CrossRef
11.
go back to reference Westhall E, Rossetti AO, van Rootselaar AF, WesenbergKjaer T, Horn J, Ullen S, Friberg H, Nielsen N, Rosen I, Aneman A, Erlinge D, Gasche Y, Hassager C, Hovdenes J, Kjaergaard J, Kuiper M, Pellis T, Stammet P, Wanscher M, Wetterslev J, Wise MP, Cronberg T (2016) Standardized EEG interpretation accurately predicts prognosis after cardiac arrest. Neurology 86:1482–1490CrossRef Westhall E, Rossetti AO, van Rootselaar AF, WesenbergKjaer T, Horn J, Ullen S, Friberg H, Nielsen N, Rosen I, Aneman A, Erlinge D, Gasche Y, Hassager C, Hovdenes J, Kjaergaard J, Kuiper M, Pellis T, Stammet P, Wanscher M, Wetterslev J, Wise MP, Cronberg T (2016) Standardized EEG interpretation accurately predicts prognosis after cardiac arrest. Neurology 86:1482–1490CrossRef
12.
go back to reference Hofmeijer J, Tjepkema-Cloostermans MC, van Putten MJ (2014) Burst-suppression with identical bursts: a distinct EEG pattern with poor outcome in postanoxic coma. Clin Neurophysiol Off J Int Fed Clin Neurophysiol 125:947–954CrossRef Hofmeijer J, Tjepkema-Cloostermans MC, van Putten MJ (2014) Burst-suppression with identical bursts: a distinct EEG pattern with poor outcome in postanoxic coma. Clin Neurophysiol Off J Int Fed Clin Neurophysiol 125:947–954CrossRef
13.
go back to reference Ruijter BJ, van Putten M, van den Bergh WM, Tromp SC, Hofmeijer J (2019) Propofol does not affect the reliability of early EEG for outcome prediction of comatose patients after cardiac arrest. Clin Neurophysiol Off J Int Fed Clin Neurophysiol 130:1263–1270CrossRef Ruijter BJ, van Putten M, van den Bergh WM, Tromp SC, Hofmeijer J (2019) Propofol does not affect the reliability of early EEG for outcome prediction of comatose patients after cardiac arrest. Clin Neurophysiol Off J Int Fed Clin Neurophysiol 130:1263–1270CrossRef
14.
go back to reference Sandroni C, Nolan JP, Andersen LW, Böttiger BW, Cariou A, Cronberg T, Friberg H, Genbrugge C, Lilja G, Morley PT, Nikolaou N, Olasveengen TM, Skrifvars MB, Taccone FS, Soar J (2022) ERC-ESICM guidelines on temperature control after cardiac arrest in adults. Intensive Care Med 48:261–269CrossRef Sandroni C, Nolan JP, Andersen LW, Böttiger BW, Cariou A, Cronberg T, Friberg H, Genbrugge C, Lilja G, Morley PT, Nikolaou N, Olasveengen TM, Skrifvars MB, Taccone FS, Soar J (2022) ERC-ESICM guidelines on temperature control after cardiac arrest in adults. Intensive Care Med 48:261–269CrossRef
15.
go back to reference Ruijter BJ, Keijzer HM, Tjepkema-Cloostermans MC, Blans MJ, Beishuizen A, Tromp SC, Scholten E, Horn J, van Rootselaar AF, Admiraal MM, van den Bergh WM, Elting JJ, Foudraine NA, Kornips FHM, van Kranen-Mastenbroek V, Rouhl RPW, Thomeer EC, Moudrous W, Nijhuis FAP, Booij SJ, Hoedemaekers CWE, Doorduin J, Taccone FS, van der Palen J, van Putten M, Hofmeijer J (2022) Treating rhythmic and periodic EEG patterns in comatose survivors of cardiac arrest. N Engl J Med 386:724–734CrossRef Ruijter BJ, Keijzer HM, Tjepkema-Cloostermans MC, Blans MJ, Beishuizen A, Tromp SC, Scholten E, Horn J, van Rootselaar AF, Admiraal MM, van den Bergh WM, Elting JJ, Foudraine NA, Kornips FHM, van Kranen-Mastenbroek V, Rouhl RPW, Thomeer EC, Moudrous W, Nijhuis FAP, Booij SJ, Hoedemaekers CWE, Doorduin J, Taccone FS, van der Palen J, van Putten M, Hofmeijer J (2022) Treating rhythmic and periodic EEG patterns in comatose survivors of cardiac arrest. N Engl J Med 386:724–734CrossRef
16.
go back to reference Backman S, Cronberg T, Rosén I, Westhall E (2020) Reduced EEG montage has a high accuracy in the post cardiac arrest setting. Clin Neurophysiol Off J Int Fed Clin Neurophysiol 131:2216–2223CrossRef Backman S, Cronberg T, Rosén I, Westhall E (2020) Reduced EEG montage has a high accuracy in the post cardiac arrest setting. Clin Neurophysiol Off J Int Fed Clin Neurophysiol 131:2216–2223CrossRef
17.
go back to reference Lybeck A, Cronberg T, Borgquist O, Düring JP, Mattiasson G, Piros D, Backman S, Friberg H, Westhall E (2020) Bedside interpretation of simplified continuous EEG after cardiac arrest. Acta Anaesthesiol Scand 64:85–92CrossRef Lybeck A, Cronberg T, Borgquist O, Düring JP, Mattiasson G, Piros D, Backman S, Friberg H, Westhall E (2020) Bedside interpretation of simplified continuous EEG after cardiac arrest. Acta Anaesthesiol Scand 64:85–92CrossRef
18.
go back to reference Rundgren M, Rosen I, Friberg H (2006) Amplitude-integrated EEG (aEEG) predicts outcome after cardiac arrest and induced hypothermia. Intensive Care Med 32:836–842CrossRef Rundgren M, Rosen I, Friberg H (2006) Amplitude-integrated EEG (aEEG) predicts outcome after cardiac arrest and induced hypothermia. Intensive Care Med 32:836–842CrossRef
19.
go back to reference Tjepkema-Cloostermans MC, da Silva LC, Ruijter BJ, Tromp SC, Drost G, Kornips FHM, Beishuizen A, Bosch FH, Hofmeijer J, van Putten M (2019) Outcome prediction in postanoxic coma with deep learning. Crit Care Med 47:1424–1432CrossRef Tjepkema-Cloostermans MC, da Silva LC, Ruijter BJ, Tromp SC, Drost G, Kornips FHM, Beishuizen A, Bosch FH, Hofmeijer J, van Putten M (2019) Outcome prediction in postanoxic coma with deep learning. Crit Care Med 47:1424–1432CrossRef
Metadata
Title
EEG monitoring after cardiac arrest
Authors
Claudio Sandroni
Tobias Cronberg
Jeannette Hofmeijer
Publication date
26-04-2022
Publisher
Springer Berlin Heidelberg
Published in
Intensive Care Medicine / Issue 10/2022
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI
https://doi.org/10.1007/s00134-022-06697-y

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