Decorticate Posturing Cardiac Arrest
Therapeutic hypothermia after resuscitated cardiac arrest the purpose of this protocol is to improve the neurologic outcomes of patients who have experienced cardiac.
Decorticate posturing cardiac arrest. Decorticate posturing a sign of severe damage to the brain is a specific type of involuntary abnormal posturing of a person. Weaning from the ventilator was successful on the 18th day. Pubmedcentral nih gov on examination neurologic abnormalities resemble those of a diffuse symmetric encephalopathy similar to a metabolic encephalopathy.
Sir charles sherrington was first to describe decerebrate posturing after transecting the brain stems of cats and monkeys causing them to exhibit the posturing. When the patient developed a characteristic decorticate posture mild hypothermia oesophageal temperature 33 34 degrees c was induced. Notice also the decorticate posturing of the upper body suggesting neurological dysfunction.
List of 70 causes for cardiac arrest and decerebrate posturing alternative diagnoses rare causes misdiagnoses patient stories and much more. Decorticate posture is stiff with legs held out straight fists. Patients with brief episodes of systemic circulatory arrest who suffer milder degrees of cerebral anoxia ischemia demonstrate the clinical features of a reversible metabolic encephalopathy.
Flexion decorticate posturing extension decerebrate posturing no response 4 corneal reflex. Finally notice how after the third round of cpr defibrillation he begins to breathe spontaneously with obvious chest rise and this is clearly different from the prior agonal respirations. Neurological outcomes after cardiac arrest cardiac arrest may be thought of as causing both metabolic and structural damage to the central nervous system.