Evidence map›Paper›PMID 41369879›Full record

ArticleJournal of clinical monitoring and computing2026

Cerebral monitoring responses to bedside physiological challenges in comatose post-cardiac arrest patients.

Yorinde S Kishna, Sofia Baars, Iwan C C van der Horst, Werner H Mess, Rik Hendrix, Thijs S R Delnoij, Marcel Aries

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Article in Journal of clinical monitoring and computing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Yorinde S Kishna *Department of Intensive Care, Maastricht University Medical Center+, Maastricht, The Netherlands. yorinde.kishna@mumc.nl.ORCID 0009-0005-1238-363X
Sofia Baars *Department of Intensive Care, Maastricht University Medical Center+, Maastricht, The Netherlands.
Iwan C C van der HorstAlbert Schweitzer Hospital, Dordrecht, The Netherlands.ORCID 0000-0003-3891-8522
Werner H MessMental Health and Neurosciences Institute (MHeNs), Maastricht University, Maastricht, The Netherlands.ORCID 0000-0002-9736-9941
Rik HendrixDepartment of Intensive Care, Maastricht University Medical Center+, Maastricht, The Netherlands.ORCID 0000-0001-6733-6287
Thijs S R DelnoijDepartment of Intensive Care, Maastricht University Medical Center+, Maastricht, The Netherlands.ORCID 0000-0003-2427-7613
Marcel AriesDepartment of Intensive Care, Maastricht University Medical Center+, Maastricht, The Netherlands.ORCID 0000-0001-5327-1275

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To evaluate the effects of three simple bedside challenges on cerebral oxygenation and brain activity, measured non-invasively using near-infrared spectroscopy (NIRS) and frontal single-channel electroencephalography (EEG), in comatose post-cardiac arrest patients, and to examine whether these responses differ according to cerebral autoregulation status and intensive care unit (ICU) outcome and could aid early prognostication. Three bedside physiological challenges were conducted: (1) increasing the fraction of inspired oxygen (FiO₂) to 100%, (2) lowering the head-of-bed (HOB) to 0°, and (3) elevating end-tidal carbon dioxide (etCO₂) by 1.0 kPa. Tissue oxygen saturation (StO₂) and EEG amplitude were hypothesized to increase, by enhancing oxygen delivery (FiO₂), augmenting cerebral perfusion pressure (HOB), and inducing cerebral vasodilation (etCO₂). Furthermore, we examined the associations between signal responses, cerebral autoregulation status, and ICU outcome. Of the 48 monitored patients, FiO

Indexed as

BrainComaHeart ArrestAdultAgedCarbon DioxideCerebrovascular CirculationCritical CareElectroencephalographyFemaleHomeostasisHumansIntensive Care UnitsMaleMiddle AgedMonitoring, PhysiologicCarbon DioxideOxygenCardiac arrestCerebral autoregulationEEGNeuromonitoringNIRS

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.