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The trial will evaluate the use of the "Neurological Pupil index" NPi, measured with the digital pupillometer (NeurOptics) compared to clinical examination for better reliability. The investigators hypothesize that digital evaluation will offer a higher sensitivity/ specificity compared to clinical examination.
Absent pupillary reaction after cardiac arrest might indicate a severe hypoxic encephalopathy. Because the examination of the pupillary reaction is easy it is part of the clinical routine but due to the different medication and the dynamic process of reperfusion injury to the brain a clinical evaluation might be not precise enough. The NPi has been shown to be superior to clinical evaluation in different settings but without regard towards cardiac arrest survivors. The Pupillometer is a hand-held, cordless, and simple to use device which removes subjectivity in the measurement of pupil size and the pupillary light reflex.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Neurological Pupil index | The NPi will be measured during treatment |
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| Measure | Description | Time Frame |
|---|---|---|
| Neurological Pupil index (NPi) on a scale from 0-5 | NPi values by the device on a scale by 0-5; >3 indicates normal reaction; <3 abnormal. | up to 7 days |
| Measure | Description | Time Frame |
|---|---|---|
| Cerebral performance category (CPC) | cerebral performance category; 1-2 good outcome; 3-5 poor outcome | Patients will be followed for the duration of hospital stay, an expected average of 2 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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Survivors after cardiac arrest
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| Name | Affiliation | Role |
|---|---|---|
| Christian Storm, MD | Charite University, Berlin, Germany | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Charité Universitätsmedizin Berlin | Berlin | 13353 | Germany | |||
| Charité Universitätsmedizin |
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| ID | Term |
|---|---|
| D002534 | Hypoxia, Brain |
| D006323 | Heart Arrest |
| ID | Term |
|---|---|
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D000860 | Hypoxia |
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| Berlin |
| 13353 |
| Germany |
| D012818 |
| Signs and Symptoms, Respiratory |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |