This document is a clinical report form assessing potential complications in a participant, including whether they experienced a hypotensive episode, hypoxic episode, cardiac arrest, or seizures. For any seizures, it indicates whether they were convulsive or non-convulsive. It also lists several additional potential supplemental elements that may be relevant, such as hypertension, hypothermia, hyperthermia, inadvertent hypocapnia, seizure duration, EEG monitoring, hyperventilation, and aspiration.
This document is a clinical report form assessing potential complications in a participant, including whether they experienced a hypotensive episode, hypoxic episode, cardiac arrest, or seizures. For any seizures, it indicates whether they were convulsive or non-convulsive. It also lists several additional potential supplemental elements that may be relevant, such as hypertension, hypothermia, hyperthermia, inadvertent hypocapnia, seizure duration, EEG monitoring, hyperventilation, and aspiration.
This document is a clinical report form assessing potential complications in a participant, including whether they experienced a hypotensive episode, hypoxic episode, cardiac arrest, or seizures. For any seizures, it indicates whether they were convulsive or non-convulsive. It also lists several additional potential supplemental elements that may be relevant, such as hypertension, hypothermia, hyperthermia, inadvertent hypocapnia, seizure duration, EEG monitoring, hyperventilation, and aspiration.
This document is a clinical report form assessing potential complications in a participant, including whether they experienced a hypotensive episode, hypoxic episode, cardiac arrest, or seizures. For any seizures, it indicates whether they were convulsive or non-convulsive. It also lists several additional potential supplemental elements that may be relevant, such as hypertension, hypothermia, hyperthermia, inadvertent hypocapnia, seizure duration, EEG monitoring, hyperventilation, and aspiration.
Subject ID: 1. Did participant/subject experience hypotensive episode? (choose one) Yes No Suspected Unknown
2. Did participant/subject experience hypoxic episode? (choose one)
Yes No Suspected Unknown
3. Did participant/subject experience cardiac arrest? (choose one)
Yes No Suspected Unknown
4. Did participant subject experience seizure(s)? (choose one)
Yes No Suspected Unknown
5. Presentation of seizure (choose one):
Convulsive Non-convulsive
Additional Supplemental Elements:
These elements may be included if relevant to the study. For additional details like permissible values, see the data dictionary associated with this CRF. Hypertension indicator Hypothermia indicator Hyperthermia indicator Inadvertent hypocapnia indicator Seizure TBI duration type EEG monitoring type Hyperventilation indicator Aspiration indicator