| Keeping cool: a case for hypothermia after cardiopulmonary resuscitation. | |
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MedLine Citation:
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PMID: 17962509 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Mary Kay Bader; Michael Rovzar; Laurie Baumgartner; Robert Winokur; Jon Cline; George Schiffman |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: American journal of critical care : an official publication, American Association of Critical-Care Nurses Volume: 16 ISSN: 1062-3264 ISO Abbreviation: Am. J. Crit. Care Publication Date: 2007 Nov |
Date Detail:
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Created Date: 2007-10-26 Completed Date: 2008-03-11 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9211547 Medline TA: Am J Crit Care Country: United States |
Other Details:
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Languages: eng Pagination: 636, 632-5 Citation Subset: IM; N |
Affiliation:
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Mission Viejo, CA 92691-6426, USA. Badermk@aol.com |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Cardiopulmonary Resuscitation
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methods* Critical Care / standards Emergency Service, Hospital / standards Heart Arrest / etiology, therapy* Humans Hypothermia, Induced* Male Middle Aged Practice Guidelines as Topic* Pulmonary Embolism / complications, radiography, therapy* Tissue Plasminogen Activator / administration & dosage |
| Chemical | |
Reg. No./Substance:
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EC 3.4.21.68/Tissue Plasminogen Activator |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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