A case report: use of cerebral oximetry in the early detection of cerebral hypoperfusion in a post-cardiac arrest patient during targeted temperature management.

ABSTRACT:

Background

We present a patient who received cerebral oximetry monitoring during targeted temperature management (TTM) post-cardiac arrest and discuss its potential in the early detection of cerebral hypoperfusion and implications on haemodynamics and ventilatory management.

Case summary

A 60-year-old Chinese male was admitted for acute pulmonary oedema with Type 2 respiratory failure. He failed an initial trial of non-invasive ventilation and was planned for intubation and mechanical ventilation. However, the patient suffered a pulseless electrical activity cardiac arrest peri-intubation. He was started on our institution's protocolized post-cardiac arrest care bundle, which included cerebral regional oxygen saturation (rSO₂) monitoring and TTM. Initial arterial

SUBMITTER: Ng S 

PROVIDER: S-EPMC6764554 | biostudies-literature | 2019 Sep

REPOSITORIES: biostudies-literature