{"id":130740,"date":"2023-04-05T15:03:27","date_gmt":"2023-04-05T15:03:27","guid":{"rendered":"https:\/\/ccs.ca\/?post_type=news&#038;p=130740"},"modified":"2023-04-13T15:15:52","modified_gmt":"2023-04-13T15:15:52","slug":"ccs-2023-neuroprognostication-position-statement","status":"publish","type":"news","link":"https:\/\/ccs.ca\/news\/ccs-2023-neuroprognostication-position-statement\/","title":{"rendered":"CCS 2023 Neuroprognostication Position Statement"},"content":{"rendered":"\n<p>The withdrawal of life-sustaining measures based on perceived poor neurologic prognosis due to underlying hypoxic-ischemic brain injury is the most common mechanism of death following successful resuscitation from cardiac arrest.<\/p>\n\n\n\n<p>This is, in part, because determining neurologic function and prognosis is complex and standardized protocols have not been routinely implemented in practice. This CCS position statement aims to address this by proposing a systematic, multimodal approach for the post-cardiac arrest patient.&nbsp;<\/p>\n\n\n\n<p><strong>\u201cAn important outcome of this Position Statement is creation of a protocol for neuroprognostication following out-of-hospital cardiac arrest using best available evidence and expert opinion,\u201d<\/strong> says Christopher B. Fordyce MD MHS MSc FRCPC.<\/p>\n\n\n\n<p>Read the 2023 <strong>Neuroprognostication PS <\/strong>for recommendations on:&nbsp;<\/p>\n\n\n\n<ol type=\"1\"><li>circumstances immediately following CA;&nbsp;&nbsp;<\/li><li>focused neurologic exam;&nbsp;&nbsp;<\/li><li>myoclonus and seizures;&nbsp;&nbsp;<\/li><li>serum biomarkers;&nbsp;&nbsp;<\/li><li>neuroimaging;&nbsp;&nbsp;<\/li><li>neurophysiologic testing; and<\/li><li>multi-modal neuroprognostication.&nbsp;<\/li><\/ol>\n\n\n\n<div style=\"height:15px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<figure class=\"wp-block-image size-full is-style-default\"><img loading=\"lazy\" decoding=\"async\" width=\"750\" height=\"395\" src=\"https:\/\/ccs.ca\/wp-content\/uploads\/2023\/04\/Neuroprognostication-Figure-1.jpg\" alt=\"\" class=\"wp-image-130741\" srcset=\"https:\/\/ccs.ca\/wp-content\/uploads\/2023\/04\/Neuroprognostication-Figure-1.jpg 750w, https:\/\/ccs.ca\/wp-content\/uploads\/2023\/04\/Neuroprognostication-Figure-1-300x158.jpg 300w, https:\/\/ccs.ca\/wp-content\/uploads\/2023\/04\/Neuroprognostication-Figure-1-380x200.jpg 380w\" sizes=\"(max-width: 750px) 100vw, 750px\" \/><figcaption>Figure 1<\/figcaption><\/figure>\n\n\n\n<div style=\"height:15px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p>\u201cThere is significant heterogeneity in the care of patients admitted to hospitals following out-of-hospital cardiac arrest (OHCA) with relatively few in-hospital interventions to treat this condition with a high risk of death on. Although many cardiovascular providers look after OHCA patients, the reality is that the majority of these patients die from neurological causes.\u202fThe recommendations take into account not only the diagnostic tests themselves, but provide guidance in terms of the optimal timing when ordering these tests \u2013 in general, advocating for a more measured and delayed approach. By standardizing neuroprognostication, there is a potential opportunity to improve outcomes for OHCA patients.\u201d says Fordyce.&nbsp;<\/p>\n\n\n\n<p>Interested in more content about Neuroprognostication? Visit the CJC Twitter account by clicking <a href=\"https:\/\/r20.rs6.net\/tn.jsp?f=001lXxTsqejvU312ib-FO6A0v4JaEyy9UX3CSZCeUBqP8E7P_xznzvCb1jVa9EFxpoEENn9MVjHvluFW2gOGsw-jogruIBdMT0sj2fXekbJWYiXWRDAO2t1ru_UDls81YnBEuuwLuLuDW9kSTzKhCcs6H5P2TYrZQsc&amp;c=rHOOoRGhUVvGRuqhPM3pIhHhcrTX1hKQcLLb8wGrDx2oxgO9dpw4mw==&amp;ch=GdXAEbqwy36ctfxHTu69vp36HjyybnjHfvZqjGGrSWkV_YHgjg7prw==\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>here<\/strong><\/a> to view the accompanying Tweetorials, <strong>launching April 6th and 20th, 2023<\/strong>.&nbsp;<\/p>\n\n\n\n<p>On behalf of the CCS, we recognize and thank Co-chairs Drs. Chris Fordyce and Andreas Kramer for their leadership, Dr. Emilie Belley- C\u00f4t\u00e9 for methods expertise and the full Neuroprognostication PS panel for their contribution and commitment to bring you these important recommendations.&nbsp;<\/p>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link has-vivid-red-background-color has-background\" href=\"https:\/\/www.onlinecjc.ca\/article\/S0828-282X(22)01110-2\/fulltext\" target=\"_blank\" rel=\"noreferrer noopener\">Read the CCS Neuroprognostication PS<\/a><\/div>\n<\/div>\n","protected":false},"featured_media":130743,"template":"","news_type":[118],"news_topic":[],"wf_news_folders":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>CCS 2023 Neuroprognostication Position Statement - Canadian Cardiovascular Society<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/ccs.ca\/news\/ccs-2023-neuroprognostication-position-statement\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"CCS 2023 Neuroprognostication Position Statement - Canadian Cardiovascular Society\" \/>\n<meta property=\"og:description\" content=\"The withdrawal of life-sustaining measures based on perceived poor neurologic prognosis due to underlying hypoxic-ischemic brain injury is the most common mechanism of death following successful resuscitation from cardiac arrest. 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