Effect of neuromonitor-guided titrated care on brain tissue hypoxia after opioid overdose cardiac arrest

 

Jonathan Elmer, Katharyn L Flickinger, Maighdlin W Anderson, Allison C Koller, Matthew L Sundermann, Cameron Dezfulian, David O Okonkwo, Lori A Shutter, David D Salcido, Clifton W Callaway, James J Menegazzi

 

Abstract

Introduction: Brain tissue hypoxia may contribute to preventable secondary brain injury after cardiac arrest. We developed a porcine model of opioid overdose cardiac arrest and post-arrest care including invasive, multimodal neurological monitoring of regional brain physiology. We hypothesized brain tissue hypoxia is common with usual post-arrest care and can be prevented by modifying mean arterial pressure (MAP) and arterial oxygen concentration (PaO2).