Regional cerebral oxygen saturation in cardiac arrest survivors undergoing targeted temperature management 36℃ vs 33℃: A randomized clinical trial
Resuscitation Aug 04, 2021
Kwon WY, Jung YS, Suh GJ, et al. - Regional cerebral oxygen saturation (rSO 2 ) level did not differ significantly, at 72 hours, between out-of-hospital cardiac arrest (OHCA) survivors undergoing targeted temperature management (TTM) 36℃ vs 33℃. A significant link was found between low rSO 2 levels, especially at 24 hours of TTM, and poor 6-month neurological outcomes in OHCA survivors; this association was true irrespective of target temperatures.
Total 57 comatose OHCA survivors were randomly assigned to either a 36℃ or 33℃ group.
Continuous monitoring of rSO 2 was performed during 72 hours of TTM.
No difference was seen in serial rSO 2 levels for 72 hours of TTM between the two groups.
rSO 2 level at 24 hours yielded an area under the receiver operating characteristic curve of 0.800 for poor neurological outcomes.
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