Which of the following EEG features would indicate a poor prognosis?
Persisting deep coma (Glasgow Coma Scale: motor 1–2) was a criterion of poor prognosis and allowed WLST if combined with either bilateral loss of somatosensory evoked potentials (SSEP) N20 responses or treatment-refractory status epilepticus.
What is neurological prognosis?
Neurological prognostication of unfavorable outcome is based on the absence or limitations of function of a particular injured area of the brain as determined by clinical assessment or diagnostic testing.
What is a malignant EEG?
EEGs were classified into highly malignant (suppression, suppression with periodic discharges, burst- suppression), malignant (periodic or rhythmic patterns, pathological or nonreactive background), and benign EEG (absence of malignant features).
Which suggests a poor prognosis during resuscitation efforts?
We identified ten independent predictors of a poor outcome: older age, cardiac arrest occurring at home, initial rhythm other than ventricular fibrillation/tachycardia, longer duration of no flow, longer duration of low flow, administration of adrenaline, bilateral absence of corneal and pupillary reflexes, Glasgow …
How long should you wait to determine the neurological prognosis?
Often, 72 hours will be needed for definitive prognostication. However, malignant EEG patterns may alert the clinician after 24 hours that the patient is unlikely to recover.
What causes burst suppression on EEG?
In general, burst suppression is associated with a deep state of brain inactivation and tends to develop in parallel with increased levels of the causal factor, such as hypoxia, decrease in brain temperature, or GABAergic anesthetic/drug concentration (Amzica, 2015).
Which of the following is a risk to monitor in a patient after achieving return of spontaneous circulation?
Immediately after ROSC, patients resuscitated from cardiac arrest are critically ill, at risk of rearrest, and frequently electrically and hemodynamically unstable.
What does it mean if an EEG is abnormal?
An abnormal EEG means that there is a problem in an area of brain activity. This can offer a clue in diagnosing various neurological conditions. Read 10 Conditions Diagnosed With an EEG to learn more. EEG testing is one part of making a diagnosis.
What suggests a poor prognosis during resuscitation efforts?
Is burst suppression good?
In some situations, burst-suppression EEG patterns are considered a desirable clinical outcome. For example, burst-suppression EEG patterns are medically induced in patients being treated for severe seizures (Rossetti and Lowenstein, 2011).
Can you recover from burst suppression?
During the study, Dr. Sekar and her colleagues found two patients with spontaneous BSP, both of whom were taken off anesthetics and remained in burst suppression: one for 72 hours and one for 4 days. Both patients fully recovered consciousness.
What is the most common immediate cause of death in patients who have been resuscitated?
Respiratory failure or withdrawal of care based on same.
What happens after an abnormal EEG?
Abnormal EEG results can show up in two ways. First, normal brain activity may be suddenly interrupted and changed. This happens in epileptic seizures. In partial seizures, only part of the brain shows the sudden interruption.
What is the prognosis of first acute myocardial infarction (MI)?
0 of No drug references linked in this topic. Survivors of a first acute myocardial infarction (MI) face a substantial risk of further cardiovascular events, including death, recurrent MI, heart failure, arrhythmias, angina, and stroke.
What happens if the prognosis of a disease is wrong?
If a predicted short life expectancy proves to be longer, the increased need of care may result in chronic admission and in a significantly reduced quality of life. A given poor prognosis may be mistakenly adhered to and might lead to insufficient diagnostic procedures or treatment.
What is the prognosis of multiple myeloma (MGUS)?
Higher levels may indicate better prognosis. Higher levels indicate more extensive disease. Abnormal results may indicate poor prognosis (also indicates risk of progression of MGUS or asymptomatic myeloma to symptomatic myeloma). Presence of specific abnormalities may indicate poor prognosis.
What does a “poor prognosis” mean?
A poor prognosis expects that there will be complications or negative progress based on test results. HOWEVER, it’s just a forecast and doesn’t mean things will truly go well or poorly.