Anoxic brain injury laboratory findings: Difference between revisions
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{{Anoxic brain injury}} | {{Anoxic brain injury}} | ||
{{CMG}} | {{CMG}} | ||
==Overview== | |||
A number of laboratory tests are obtained in order to evaluate the underlying cause of the anoxic brain injury. Common laboratory tests include [[complete blood count]], [[ABG]], [[electrolytes]], [[cardiac enzymes]] and serum [[lactate]]. | |||
==Laboratory Findings== | ==Laboratory Findings== | ||
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* [[Arterial blood gas]]es | * [[Arterial blood gas]]es | ||
* [[Blood glucose]]. Elevated blood glucose is associated with a poorer prognosis. | * [[Blood glucose]]. Elevated [[blood glucose]] is associated with a poorer [[prognosis]]. | ||
* [[Cardiac output]] monitoring with noninvasive methods or [[pulmonary artery]] | * [[Cardiac output]] monitoring with noninvasive methods or [[pulmonary artery catheter]] | ||
* [[Chest x-ray]] to evaluate for aspiration pneumonia | * [[Chest x-ray]] to evaluate for [[aspiration pneumonia]] | ||
* [[Complete blood count]] | * [[Complete blood count]] | ||
* Continuous [[ECG]] monitoring to | * Continuous [[ECG]] monitoring to promptly shock any recurrent [[arrhythmia]]. | ||
* [[Echocardiography]] to evaluate LV function and assess for the presence of [[hypertrophic obstructive cardiomyopathy]] ([[HOCM]]) | * [[Echocardiography]] to evaluate [[LV function]] and assess for the presence of [[hypertrophic obstructive cardiomyopathy]] ([[HOCM]]) | ||
* [[EEG]] for early [[seizure]] detection and treatment | * [[EEG]] for early [[seizure]] detection and treatment | ||
* [[Electrolytes]] to | * [[Electrolytes]] to detect [[hypokalemia]] and [[hypomagnesemia]] | ||
* [[Cardiac enzymes]] to assess MI size | * [[Cardiac enzymes]] to assess [[MI]] size | ||
* [[Oxygen saturation]] by [[pulse oximetry]] | * [[Oxygen saturation]] by [[pulse oximetry]] | ||
* Placement of an arterial catheter | * Placement of an [[artery|arterial]] catheter | ||
* ScvO2 | * ScvO2 | ||
* Serum [[lactate]] | * [[Serum]] [[lactate]] | ||
* Temperature | * Temperature | ||
* Urine output | * Urine output | ||
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{{Reflist|2}} | {{Reflist|2}} | ||
{{WH}} | |||
{{WS}} | |||
[[CME Category::Cardiology]] | |||
[[Category:Cardiology]] | [[Category:Cardiology]] | ||
[[Category:Neurology]] | [[Category:Neurology]] | ||
[[Category:Emergency medicine]] | [[Category:Emergency medicine]] | ||
[[Category:Needs overview]] | [[Category:Needs overview]] | ||
[[Category:Needs content]] | |||
[[Category:Up-To-Date]] | [[Category:Up-To-Date]] | ||
[[Category:Up-To-Date cardiology]] | [[Category:Up-To-Date cardiology]] | ||
Latest revision as of 21:25, 14 March 2016
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
A number of laboratory tests are obtained in order to evaluate the underlying cause of the anoxic brain injury. Common laboratory tests include complete blood count, ABG, electrolytes, cardiac enzymes and serum lactate.
Laboratory Findings
(In alphabetical order)[1] [2] [3]
- Arterial blood gases
- Blood glucose. Elevated blood glucose is associated with a poorer prognosis.
- Cardiac output monitoring with noninvasive methods or pulmonary artery catheter
- Chest x-ray to evaluate for aspiration pneumonia
- Complete blood count
- Continuous ECG monitoring to promptly shock any recurrent arrhythmia.
- Echocardiography to evaluate LV function and assess for the presence of hypertrophic obstructive cardiomyopathy (HOCM)
- EEG for early seizure detection and treatment
- Electrolytes to detect hypokalemia and hypomagnesemia
- Cardiac enzymes to assess MI size
- Oxygen saturation by pulse oximetry
- Placement of an arterial catheter
- ScvO2
- Serum lactate
- Temperature
- Urine output
References
- ↑ Neumar RW, Nolan JP, Adrie C, Aibiki M, Berg RA, Böttiger BW, Callaway C, Clark RSB, Geocadin RG, Jauch EC, Kern KB, Laurent I, Longstreth WT Jr, Merchant RM, Morley P, Morrison LJ, Nadkarni V, Peberdy MA, Rivers EP, Rodriguez-Nunez A, Sellke FW, Spaulding C, Sunde K, Vanden Hoek T. Post– cardiac arrest syndrome: epidemiology, pathophysiology, treatment, and prognostication: a consensus statement from the International Liaison Committee on Resuscitation (American Heart Association, Australian and New Zealand Council on Resuscitation, European Resuscitation Council, Heart and Stroke Foundation of Canada, InterAmerican Heart Foundation, Resuscitation Council of Asia, and the Resuscitation Council of Southern Africa); the American Heart Association Emergency Cardiovascular Care Committee; the Council on Cardiovascular Surgery and Anesthesia; the Council on Cardiopulmonary, Perioperative, and Critical Care; the Council on Clinical Cardiology; and the Stroke Council. Circulation. 2008;118 DOI:10.1161/ CirculationAHA.108.190652 Published online on 27.10.2008
- ↑ Dellinger RP, Levy MM, Carlet JM, Bion J, Parker MM, Jaeschke R, Reinhart K, Angus DC, Brun-Buisson C, Beale R, Calandra T, Dhainaut JF, Gerlach H, Harvey M, Marini JJ, Marshall J, Ranieri M, Ramsay G, Sevransky J, Thompson BT, Townsend S, Vender JS, Zimmerman JL, Vincent JL; International Surviving Sepsis Campaign Guidelines Committee; American Association of Critical-Care Nurses; American College of Chest Physicians; American College of Emergency Physicians; Canadian Critical Care Society; European Society of Clinical Microbiology and Infectious Diseases; European Society of Intensive Care Medicine; European Respiratory Society; International Sepsis Forum; Japanese Association for Acute Medicine; Japanese Society of Intensive Care Medicine; Society of Critical Care Medicine; Society of Hospital Medicine; Surgical Infection Society; World Federation of Societies of Intensive and Critical Care Medicine. Surviving Sepsis Campaign: international guidelines for management of severe sepsis and septic shock: 2008 [published correction appears in Crit Care Med. 2008;36: 1394–1396]. Crit Care Med. 2008;36:296 –327.
- ↑ Gazmuri RJ, Nolan JP, Nadkarni VM, Arntz HR, Billi JE, Bossaert L, Deakin CD, Finn J, Hammill WW, Handley AJ, Hazinski MF, Hickey RW, Jacobs I, Jauch EC, Kloeck WG, Mattes MH, Montgomery WH, Morley P, Morrison LJ, Nichol G, O’Connor RE, Perlman J, Richmond S, Sayre M, Shuster M, Timerman S, Weil MH, Weisfeldt ML, Zaritsky A, Zideman DA. Scientific knowledge gaps and clinical research priorities for cardiopulmonary resuscitation and emergency cardiovascular care identified during the 2005 International Consensus Conference on ECC and CPR Science with Treatment Recommendations: a consensus statement from the International Liaison Committee on Resuscitation; the American Heart Association Emergency Cardiovascular Care Committee; the Stroke Council; and the Cardiovascular Nursing Council. Resuscitation. 2007;75:400–411.