| Devices for rapid induction of hypothermia. | |
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MedLine Citation:
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PMID: 18289414 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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In industrial countries it is estimated that the incidence of out-of-hospital sudden cardiac arrest lies between 36 and 128 per 100,000 inhabitants per year. Almost 80% of patients who initially survive a cardiac arrest present with coma lasting more than 1 h. Current therapy during cardiac arrest concentrates on the external support of circulation and respiration with additional drug and electrical therapy. Therapeutic hypothermia provides a new and very effective therapy for neuroprotection in patients after cardiac arrest. It is critical that mild hypothermia has to be applied very early after the ischaemic insult to be effective, otherwise the beneficial effects would be diminished or even abrogated. There are numerous methods available for cooling patients after ischaemic states. Surface cooling devices are non-invasive and range from simple ice packs to sophisticated machines with automatic feedback control. Other non-invasive methods include drugs and cold liquid ventilation. The newer devices have cooling rates comparable to invasive catheter techniques. Invasive cooling methods include the administration of ice-cold fluids intravenously, the use of intravascular cooling catheters, body cavity lavage, extra-corporeal circuits and selective brain cooling. Most of these methods are quite invasive and are still in an experimental stage. The optimal timing and technique for the induction of hypothermia after cardiac arrest have not yet been defined, and it is currently a major topic of ongoing research. The induction of hypothermia after cardiac arrest needs to be an integral component of the initial evaluation and stabilization of the patient. |
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Authors:
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M Holzer |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: European journal of anaesthesiology. Supplement Volume: 42 ISSN: 0952-1941 ISO Abbreviation: Eur J Anaesthesiol Suppl Publication Date: 2008 |
Date Detail:
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Created Date: 2008-02-21 Completed Date: 2008-09-09 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8804068 Medline TA: Eur J Anaesthesiol Suppl Country: England |
Other Details:
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Languages: eng Pagination: 31-8 Citation Subset: IM |
Affiliation:
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Medical University of Vienna, Department of Emergency Medicine, Vienna, Austria. michael.holzer@meduniwien.ac.at |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Animals Aorta / pathology Body Temperature Brain / pathology Cardiopulmonary Resuscitation / methods Cohort Studies Coma Emergency Medicine / instrumentation* Equipment Design Heart Arrest / therapy* Humans Hypothermia, Induced / instrumentation* Ischemia / therapy Nervous System Diseases / prevention & control Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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