Title: Late Awakening After Cardiac Arrest<br/>Author: Daniel Haase<br/><a href='http://umem.org/profiles/faculty/1447/'>[Click to email author]</a><hr/><p>
--Late awakening (>48h after sedation held) was common (78/402) in patients with cardiac arrest in prospective cohort study</p>
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--Poor prognostic signs of discontinuous (10-49% suppression) EEG and absent brain stem reflexes were independently associated with late awakening. Use of midazolam also associated with late awakening</p>
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--Late awakeners had good functional outcome when compared to early awakeners</p>
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DON'T NEUROPROGNOSTIC EARLY (OR IN ED)!</p>
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And traditional poor prognostic signs may not be as poor as previously thought!</p>
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Rey A, Rossetti AO, Miroz JP, et al. <strong>Late Awakening in Survivors of Postanoxic Coma: </strong>Early Neurophysiologic Predictors and Association With ICU and Long-Term Neurologic Recovery. <em>Critical Care Medicine</em>: <a href="https://journals.lww.com/ccmjournal/pages/currenttoc.aspx">January 2019 - Volume 47 - Issue 1 - p 85–92</a></p>
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