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Revista EMERGENCIAS




  REVISTA EMERGENCIAS SEMES > ARTÍCULOS

Emergencias 2012; 24: 35-38

Bispectral index recorded during prehospital cardiopulmonary resuscitation as a predictor of survival

MARÍA ÁNGELES SOTO GARCÍA , JOSÉ MANUEL GIRALDO SEBASTIÀ , FRANCISCO JOSÉ CARMONA JIMÉNEZ , XAVIER JIMÉNEZ FÁBREGA

Sistema d’Emergències Mèdiques, S.A. (SEM). Barcelona, Spain.

Objetive: To determine the value of the bispectral index (BIS) for predicting survival in patients in cardiorespiratory arrest attended by advanced life support units. Material and methods: One-year prospective observational study of 16 patients in cardiorespiratory arrest in Barcelona who were attended by advanced life support units. The BIS was monitored during prehospital advanced life support maneuvers. Results: Basic life support measures were required in the great majority (88%) of cases. The cause of arrest was cardiac-related in 13 patients and the initial heart rhythm was shockable in 3. Circulation recovered spontaneously in 3 patients, 1 of whom died in the hospital. BIS values were lower in patients who recovered circulation spontaneously than in those who did not survive. Patients in cardiorespiratory arrest who received basic life support measures and whose initial rhythm was shockable had lower BIS values. Conclusions: BIS values recorded during prehospital advanced life support maneuvers for cardiorespiratory arrest do not predict survival.


Texto Completo: http://www.semes.org/revista/vol24_1/8_ing.pdf


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