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Neuroprognostication after severe brain injury in children: Science fiction or plausible reality?

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Neuroprognostication is a complex process that spans the resuscitative, acute, and subacute phases of brain injury and recovery. Improvements over time have transitioned the task of outcome prediction after severe brain injury from estimating survival to providing a qualitative prognosis of functional neurologic recovery. This chapter follows the case of an 8-year-old boy who remained comatose following a cardiac arrest due to drowning. We describe and analyze novel applications of current technologies that could be used in the future to improve the accuracy, reliability, and confidence in the neuroprognostication process for physicians and families that are at the heart of ethical decision-making in medicine.

Oxford University Press

Sarah S. Welsh Geneviève Dupont-Thibodeau Matthew P. Kirschen

Oxford Scholarship Online

Title: Neuroprognostication after severe brain injury in children: Science fiction or plausible reality?

Description:

Neuroprognostication is a complex process that spans the resuscitative, acute, and subacute phases of brain injury and recovery.

Improvements over time have transitioned the task of outcome prediction after severe brain injury from estimating survival to providing a qualitative prognosis of functional neurologic recovery.

This chapter follows the case of an 8-year-old boy who remained comatose following a cardiac arrest due to drowning.

We describe and analyze novel applications of current technologies that could be used in the future to improve the accuracy, reliability, and confidence in the neuroprognostication process for physicians and families that are at the heart of ethical decision-making in medicine.

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