Acute cardiac care & resuscitation

Association between burst-suppression with identical bursts and multimodal measures of cerebral oxygenation after cardiac arrest

ResuscitationPublished single-center retrospective study

Authors' conclusion

BSIB may represent a distinct subtype of PCABI characterized by impaired oxygen metabolism with preserved oxygen delivery and diffusion.

Study context

Population
Patients resuscitated from cardiac arrest who underwent EEG and SjvO2 or PbtO2 monitoringSjvO2 and PbtO2 cohorts · SjvO2 cohort 109 · PbtO2 cohort 33
Exposure
Associations between EEG and SjvO2, PbCO2 gap, PbtO2, and intracranial pressure (ICP)
Outcome
SjvO2

Main finding

As reported in the abstract

β

3

95% CI −0.6 to 7.0

Burst-suppression with identical bursts (BSIB) vs malignant without BSIB

β

12

95% CI 7.0–16.0

BSIB vs non-malignant

Observational data: associations, not effects.

Further findings

Outcomeβ (95% CI)
PbCO2 gapBSIB vs malignant without BSIB−1.4 (−2.6 to −0.3)
PbCO2 gapBSIB vs non-malignant−2.6 (−4.1 to −1.0)
PbtO2BSIB vs malignant without BSIB · adjusted model4.0 (−4.7 to 13.0)
ICPBSIB vs malignant without BSIB−19.0 (−32.5 to −5.6)

PbtO2

PbtO2 was highest with BSIB

Original publication

Association between burst-suppression with identical bursts and multimodal measures of cerebral oxygenation after cardiac arrest. Resuscitation. Published 20 October 2026. doi:10.1016/j.resuscitation.2026.111360

Summarised from the published abstract; every number is checked against it

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