Cardiac arrest & resuscitation

The prognostic role of cerebral ultrasound in hypoxic-ischemic encephalopathy: A systematic review

ResuscitationPublished Systematic review

Authors' conclusion

The role of cerebral ultrasound in prognostication after OHCA has been poorly described.

Study context

Population
Adults after out-of-hospital cardiac arrest (OHCA) (hypoxic-ischemic encephalopathy) assessed by cerebral ultrasound for neuroprognostication14 studies
Outcome
Unfavourable outcome (UO), per individual study criteria, predicted by cerebral ultrasound (CBFV, ONSD, CVR)

Pooled result

As reported in the abstract

Optic nerve sheath diameter (ONSD) associated with unfavourable outcome (UO) in 5 of 6 studies; cutoffs between 5.3 and 7.2 mm

5.3–7.2 mm

Original publication

The prognostic role of cerebral ultrasound in hypoxic-ischemic encephalopathy: A systematic review. Resuscitation. Published 21 October 2025. doi:10.1016/j.resuscitation.2025.110861

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