Pediatric Neurology ( IF 3.8 ) Pub Date : 2020-03-15 , DOI: 10.1016/j.pediatrneurol.2020.03.010 Alyssa E Smith 1 , Stuart H Friess 2
Early after pediatric cardiac arrest, families and care providers struggle with the uncertainty of long-term neurological prognosis. Cardiac arrest characteristics such as location, intra-arrest factors, and postarrest events have been associated with outcome. We paid particular attention to postarrest modalities that have been shown to predict neurological outcome. These modalities include neurological examination, somatosensory evoked potentials, electroencephalography, and neuroimaging. There is no one modality that accurately predicts neurological prognosis. Thus, a multimodal approach should be undertaken by both neurologists and intensivists to present a clear and consistent message to families. Methods used for the prediction of long-term neurological prognosis need to be specific enough to identify indivuals with a poor outcome. We review the evidence evaluating children with coma, each with various etiologies of cardiac arrest, outcome measures, and timing of follow-up.
中文翻译:
心脏骤停后儿童的神经系统预后。
小儿心脏骤停后的早期,家庭和护理人员会因长期神经系统预后的不确定性而挣扎。心脏骤停的特征,如位置,逮捕内因素和逮捕后事件与预后相关。我们特别注意了已被证实可预测神经学预后的逮捕后方式。这些方式包括神经系统检查,体感诱发电位,脑电图和神经影像学。没有一种可以准确预测神经系统预后的方法。因此,神经科医师和强化医师都应采取多模式方法向家庭呈现清晰一致的信息。用于预测长期神经系统预后的方法需要足够具体,以识别出不良预后的个体。