A case of traumatic cardiopulmonary arrest with good neurological outcome predicted by amplitude-integrated electroencephalogram

Ko Harada, Kohei Tsukahara, Tetsuya Yumoto, Yasuaki Yamakawa, Atsuyoshi Iida, Hiromichi Naito, Atsunori Nakao

Research output: Contribution to journalArticle

Abstract

Introduction Traumatic cardiopulmonary arrest has a very high mortality, and survival of patients with this condition without neurological disability is rare. Presentation of case We herein report a case of traumatic cardiopulmonary arrest secondary to accidental amputation of the left lower leg that was successfully treated without any higher brain dysfunction. Although the long duration of cardiopulmonary arrest in this patient suggested hypoxic ischemic encephalopathy, amplitude-integrated electroencephalogram showed normal findings. Discussion This system may help intensivists evaluate the neurological conditions of patients with suspected hypoxic ischemic encephalopathy in the early stage of the clinical course and may assist in guiding therapeutic interventions. Conclusion Our case supports the usefulness of neurological monitoring using amplitude-integrated electroencephalogram.

Original languageEnglish
Pages (from-to)42-45
Number of pages4
JournalInternational Journal of Surgery Case Reports
Volume36
DOIs
Publication statusPublished - 2017

Fingerprint

Heart Arrest
Brain Hypoxia-Ischemia
Electroencephalography
Amputation
Leg
Survival
Mortality
Brain
Therapeutics

Keywords

  • Amplitude-integrated electroencephalogram
  • Hypoxic ischemic encephalopathy
  • Traumatic cardiopulmonary arrest

ASJC Scopus subject areas

  • Surgery

Cite this

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abstract = "Introduction Traumatic cardiopulmonary arrest has a very high mortality, and survival of patients with this condition without neurological disability is rare. Presentation of case We herein report a case of traumatic cardiopulmonary arrest secondary to accidental amputation of the left lower leg that was successfully treated without any higher brain dysfunction. Although the long duration of cardiopulmonary arrest in this patient suggested hypoxic ischemic encephalopathy, amplitude-integrated electroencephalogram showed normal findings. Discussion This system may help intensivists evaluate the neurological conditions of patients with suspected hypoxic ischemic encephalopathy in the early stage of the clinical course and may assist in guiding therapeutic interventions. Conclusion Our case supports the usefulness of neurological monitoring using amplitude-integrated electroencephalogram.",
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AU - Harada, Ko

AU - Tsukahara, Kohei

AU - Yumoto, Tetsuya

AU - Yamakawa, Yasuaki

AU - Iida, Atsuyoshi

AU - Naito, Hiromichi

AU - Nakao, Atsunori

PY - 2017

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N2 - Introduction Traumatic cardiopulmonary arrest has a very high mortality, and survival of patients with this condition without neurological disability is rare. Presentation of case We herein report a case of traumatic cardiopulmonary arrest secondary to accidental amputation of the left lower leg that was successfully treated without any higher brain dysfunction. Although the long duration of cardiopulmonary arrest in this patient suggested hypoxic ischemic encephalopathy, amplitude-integrated electroencephalogram showed normal findings. Discussion This system may help intensivists evaluate the neurological conditions of patients with suspected hypoxic ischemic encephalopathy in the early stage of the clinical course and may assist in guiding therapeutic interventions. Conclusion Our case supports the usefulness of neurological monitoring using amplitude-integrated electroencephalogram.

AB - Introduction Traumatic cardiopulmonary arrest has a very high mortality, and survival of patients with this condition without neurological disability is rare. Presentation of case We herein report a case of traumatic cardiopulmonary arrest secondary to accidental amputation of the left lower leg that was successfully treated without any higher brain dysfunction. Although the long duration of cardiopulmonary arrest in this patient suggested hypoxic ischemic encephalopathy, amplitude-integrated electroencephalogram showed normal findings. Discussion This system may help intensivists evaluate the neurological conditions of patients with suspected hypoxic ischemic encephalopathy in the early stage of the clinical course and may assist in guiding therapeutic interventions. Conclusion Our case supports the usefulness of neurological monitoring using amplitude-integrated electroencephalogram.

KW - Amplitude-integrated electroencephalogram

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