Hipotermia terapéutica después del paro cardiaco
Therapeutic hypothermia after cardiac arrest.
Alshimemeri A.
Ann Card Anaesth [serial online] 2014 [cited 2014 Oct 1];17:285-91.
Abstract
Prognosis following out-of-hospital cardiac arrest is generally poor, which is mostly due to the severity of neuronal damage. Recently, the use of therapeutic hypothermia has gradually occupied an important role in managing neuronal injuries in some cases of cardiac arrests. Some of the clinical trials conducted in comatose post-resuscitation cardiac arrest patients within the last decade have shown induced hypothermia to be effective in facilitating neuronal function recovery. This method has since been adopted in a number of guidelines and protocols as the standard method of treatment in carefully selected patient groups. Patient inclusion criteria ensure that hypothermia-associated complications are kept to a minimum while at the same time maximizing the treatment benefits. In the present work, we have examined different aspects in the use of therapeutic hypothermia as a means of managing comatose patients following cardiac arrest.
Keywords: Cardiac arrest; Cooling; Hypothermia; Outcome; Ventricular fibrillation
http://www.annals.in/downloadpdf.asp?issn=0971-9784;year=2014;volume=17;issue=4;spage=285;epage=291;aulast=Alshimemeri;type=2
http://www.annals.in/text.asp?2014/17/4/285/142065
Hipotermia después de paro cardiaco como un nuevo abordaje para aumentar la sobrevida en resucitación cerebral cardiopulmonar. Revisión
Hypothermia after cardiac arrest as a novel approach to increase survival in cardiopulmonary cerebral resuscitation: a review.
Soleimanpour H1, Rahmani F2, Safari S3, Golzari SE4.
Iran Red Crescent Med J. 2014 Jul;16(7):e17497. doi: 10.5812/ircmj.17497. Epub 2014 Jul 5.
Abstract
CONTEXT:The aim of this review study was to evaluate therapeutic mild hypothermia, its complications and various methods for induced mildhypothermia in patients following resuscitation after out-of-hospital cardiac arrest. EVIDENCE ACQUISITION: Studies conducted on post-cardiac arrest cares, history of induced hypothermia, and therapeutic hypothermia for patients with cardiac arrest were included in this study. We used the valid databases (PubMed and Cochrane library) to collect relevant articles. RESULTS: According to the studies reviewed, induction of mild hypothermia in patients after cardiopulmonary resuscitation would lead to increased survival and better neurological outcome; however, studies on the complications of hypothermia or different methods of inducing hypothermia were limited and needed to be studied further. CONCLUSIONS: This study provides strategic issues concerning the induction of mild hypothermia, its complications, and different ways of performing it on patients; using this method helps to increase patients' neurological survival rate.
KEYWORDS: Cardiopulmonary Resuscitation; Heart Arrest; Hypothermia; Out-of-Hospital Cardiac Arrest
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4166101/pdf/ircmj-16-17497.pdf
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Anestesiología y Medicina del Dolor
www.anestesia-dolor.org
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