| Autor: |
Mieko Agata, Yuko Shimizu, Kosaku Kinoshita, Noriko Sakurai, Midori Matsuzuki, Yoko Hoshiya, Nariyuki Hayashi, Toshie Sasaki |
| Rok vydání: |
2004 |
| Předmět: |
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| Zdroj: |
Hypothermia for Acute Brain Damage ISBN: 9784431679677 |
| DOI: |
10.1007/978-4-431-53961-2_16 |
| Popis: |
The management of core temperature requires advanced skills during therapeutic hypothermia in patients with severe brain damage. We report here the use of a safe and simple cooling device (Arctic Sun Model 200; Medivance, Louisville, CO, USA) that automatically responds to changes in a patient’s body temperature during mild therapeutic hypothermia. Six patients were registered in this study. The bladder temperature was measured every 20 min and kept at 34°C for 48–72 h using the above-mentioned cooling device during hypothermia. After hypothermic therapy, the patients were gradually rewarmed at a rate of 1°C per day. The patients were retrospectively divided into two groups: those automatically controlled during hypothermia (n = 3) and those manually controlled (n = 3). The time (hours) that transpired up to the achievement of the target temperature and the numbers of deviations (by 0.5°C or more) from the target temperature during the first 24 h were monitored in both groups. All patients in the automatically controlled group reached the target temperature within 2 h after the induction of hypothermia, and there were no deviations in temperature of more than 0.5°C. A total of nine deviations from the target temperature were recorded in the manually controlled group in the first 24 h of cooling. No cardiac dysfunction or arrhythmias due to rapid forced cooling by the system were observed. The automatic temperature-control system investigated in this study was easy to use and effective for therapeutic hypothermia after severe brain damage. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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