SCCM Resource Library-After ROSC: A Brain Too Good to Die...or Not? Temperature Management and Neurologic Prognostication

Video Transcription

Video Summary

The video discusses the topic of neuroprognostication in animals after cardiac arrest. It explains that determining the prognosis for animals that have achieved return of spontaneous circulation (ROSC) is challenging and often requires a multimodal approach. The video also highlights that recovery from cardiac arrest is not instantaneous and takes time. It provides an algorithm proposed by the European Resuscitation Council for predicting poor outcomes, which includes clinical examination, electrophysiologic studies, imaging, and biomarker testing. The video emphasizes the importance of waiting at least 72 hours after rewarming to assess prognosis. It also mentions that in-hospital cardiac arrest prognosis may be influenced by factors such as comorbidities and non-neurological causes of death. The video concludes by suggesting that, while neuroprognostication may be difficult, early futility on neurological grounds alone is challenging, and it's important to carefully consider the available measures and resources when determining prognosis.

Asset Subtitle

Professional Development and Education, Neuroscience, 2020

Asset Caption

This is a presentation from the 2020 Critical Care Congress precourse, Cardiopulmonary Resuscitation, Electrolyte, and Acid-Base Disorders for the Veterinary Emergency and Critical Care Specialist. After ROSC: A Brain Too Good to Die...or Not? Temperature Management and Neurologic Prognostication was presented by Daniel Fletcher, PhD, DVM, DACVECC, and Manuel Boller, DVM, MTR, DACVECC.

The course covered topics including updates from research, electrolyte disorders commonly and less commonly seen in the critical care setting, importance of chloride and its role in resuscitation management and the kidney, and acid-base disorders, including physiology, blood gas interpretation, and treatment.

Meta Tag

Content Type Presentation

Knowledge Area Professional Development and Education

Knowledge Area Neuroscience

Knowledge Level Advanced

Membership Level Select

Membership Level Professional

Membership Level Associate

Tag Veterinary Medicine

Tag Neurotrauma

Year 2020

Keywords

neuroprognostication

animals

cardiac arrest

multimodal approach

prognosis

European Resuscitation Council

rewarming

in-hospital cardiac arrest

futility

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