• Michael T Pawlik, Timo F Seyfried, Christian Riegger, Werner Klingler, and Christoph Selig.
• Department of Anaesthesiology, University of Regensburg, 93042, Regensburg, Germany. michael.pawlik@klinik.uni-regensburg.de
• Int J Emerg Med. 2008 Sep 1;1(3):209-12.

AbstractResearch on cardiac resuscitation has led to various changes in the techniques and drug administration involved in modern advanced life support. Besides improving primary cardiac survival, interest is increasingly focused on a favourable neurological outcome. However, until now there has been no on-site equipment to support the clinical observations of the cardiopulmonary resuscitation (CPR) team. Bispectral index (BIS) monitoring has been used for avoiding awareness during anaesthesia for many years. We report a case of a 68-year-old patient suffering twice from cardiac arrest due to thromboembolism within a few days. While the first cardiac resuscitation was survived without neurological consequences, the patient died after the second event. Both resuscitation events were monitored using the BIS. We discuss the course of BIS values and their possible contribution to the prediction of outcome.

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