A case of traumatic cardiopulmonary arrest with good neurological outcome predicted by amplitude-integrated electroencephalogram

Introduction: Traumatic cardiopulmonary arrest has a very high mortality, and survival of patients with this condition without neurological disability is rare.

Presentation of case: We herein report a case of traumatic cardiopulmonary arrest secondary to accidental amputation of the left lower leg that was successfully treated without any higher brain dysfunction. Although the long duration of cardiopulmonary arrest in this patient suggested hypoxic ischemic encephalopathy, amplitude-integrated electroencephalogram showed normal findings.

Discussion: This system may help intensivists evaluate the neurological conditions of patients with suspected hypoxic ischemic encephalopathy in the early stage of the clinical course and may assist in guiding therapeutic interventions.

Conclusion: Our case supports the usefulness of neurological monitoring using amplitude-integrated electroencephalogram.