Keeping Cool: A Case for Hypothermia After Cardiopulmonary Resuscitation
| Autor: | Jon Cline, Michael Rovzar, George Schiffman, Robert Winokur, Mary Kay Bader, Laurie Baumgartner |
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| Rok vydání: | 2007 |
| Předmět: |
Male
Resuscitation Neurological injury Critical Care medicine.medical_treatment Ischemia Return of spontaneous circulation Critical Care Nursing Hypothermia Induced medicine Humans Cardiopulmonary resuscitation business.industry General Medicine Blood flow Middle Aged Hypothermia medicine.disease Cardiopulmonary Resuscitation Heart Arrest Radiography Moderate hypothermia Tissue Plasminogen Activator Anesthesia Practice Guidelines as Topic medicine.symptom Emergency Service Hospital Pulmonary Embolism business |
| Zdroj: | American Journal of Critical Care. 16:636-640 |
| ISSN: | 1937-710X 1062-3264 |
| DOI: | 10.4037/ajcc2007.16.6.636 |
| Popis: | Cessation of circulation during cardiac arrest causes critical end-organ ischemia. Although the neurological consequences of cardiopulmonary arrest can be catastrophic, an aggressive “push fast and push hard” resuscitation technique maintains blood flow until the return of spontaneous circulation. However, reperfusion to the cerebrum leads to cellular chaos and further neurological injury. Use of moderate hypothermia after cardiac arrest mediates these cellular and chemical processes, reducing the impact of the arrest and reperfusion phenomena. A 43-year-old man had 2 asystolic arrests with 20 minutes of cardiopulmonary resuscitation as a result of massive, multiple pulmonary emboli. After the cardiac arrest, the patient was comatose and posturing. The 2005 American Heart Association guidelines for cardiopulmonary resuscitation were used along with moderate hypothermia in an attempt to minimize the neurological consequences of the cardiopulmonary arrest and to optimize the patient’s outcome. |
| Databáze: | OpenAIRE |
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