What are AHA recommendations for the timing of prognostication following cardiac arrest?

Updated: Sep 15, 2020
  • Author: Catharine A Bon, MD; Chief Editor: Kirsten A Bechtel, MD  more...
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Answer

Answer

Additional recommendations for the timing of prognostication include the following [43] :

  • Clinical examination results may be used for prognostication in patients treated with TTM, where sedation or paralysis could be a confounder, in a minimum of 72 hours after completion of TTM (class IIb)

  • In patients not treated with TTM, 72 hours after cardiac arrest is the earliest time to prognosticate a poor neurologic outcome using clinical examination (class I)

  • Time until prognostication can be longer than 72 hours after cardiac arrest if the residual effect of sedation or paralysis confounds the clinical examination (class IIa)


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