Neurological Prognostication after Cardiac Arrest
Determination of poor neurological prognosis after cardiac arrest can be best done at least 72 hours after the return of spontaneous circulation. A multimodal approach in which the decision is based on clinical examination, neurophysiology testing (electroencephalography, somatosensory evoked potentials), biomarkers (neuron-specific enolase), and brain imaging (computed tomography scan and magnetic resonance imaging) can increase the reliability of the assessment and help to make an appropriate prognostication for the patient's decision maker to be informed.
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