Cerebral resuscitation is the most important goal of advanced life support. Currently, there are no objective monitoring methods available to gauge the effectiveness of advanced life support on cerebral resuscitation. We assessed the utility of bispectrat index (BIS) monitoring during cardiopulmonary resuscitation as a marker of cerebral resuscitation. Twenty one patients with out of hospital cardiac arrest had a BIS monitor applied during the resuscitation, in addition to standard advanced life support. The BIS monitor was also applied to a cadaver to assess the rote of artefact. Illustrative data are presented, outtining the process of evaluation undertaken. A major component of the BIS tracing during external chest compressions appears to be due to movement artefact. Our pilot data indicate that with current technology, BIS monitoring is not a clinically reliable marker of the efficacy of external chest compressions. (c) 2005 Elsevier Ireland Ltd. All rights reserved.
|Publication status||Published - 2006|