Current opinion in critical care
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Curr Opin Crit Care · Jun 2018
ReviewPhysiology-directed cardiopulmonary resuscitation: advances in precision monitoring during cardiac arrest.
We review the recent advances in physiologic monitoring during cardiac arrest and offer an evidence-based framework for prioritizing physiologic targets during cardiopulmonary resuscitation (CPR). ⋯ Physiologic monitoring can and should be used to deliver precision CPR whenever possible and may improve outcomes after cardiac arrest.
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The present review discusses the current role of the pulmonary artery catheter (PAC) in the hemodynamic monitoring of critically ill patients. ⋯ The PAC still has an important role in the cardiopulmonary monitoring of critically ill patients.
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Curr Opin Crit Care · Jun 2018
Review Comparative StudyNeuroprognostication postcardiac arrest: translating probabilities to individuals.
Predicting neurological recovery in patients who are comatose after cardiac arrest is an important activity during postarrest care, and this prediction can affect survival. As no early test or clinical finding perfectly predicts potential for recovery, guidelines recommend using data from multiple examinations or tests to estimate patient prognosis. ⋯ Absence of cortical functional recovery over time is detected using multiple testing modalities and remains strongly associated with poor outcome. Early recovery of cortical function increases the probability of good outcome. Concordant assessments from multiple tests increase confidence in prognostication.