Document Detail


Therapeutic hypothermia for brain injury after cardiac arrest.
MedLine Citation:
PMID:  16969739     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Morbidity and mortality in patients successfully resuscitated from cardiac arrest primarily depends on neurological outcome. Clinical trials of therapies directed toward reducing the extent of neuronal damage by means of pharmacological agents have been disappointing. To date, the only clinically effective tool for amelioration of brain damage by ischemia and reperfusion is mild to moderate induced hypothermia. The pathophysiology of global hypoxic-ischemic brain injury, the mechanisms by which hypothermia confers neuroprotection, and the encouraging beneficial effects of mild to moderate hypothermia in experimental studies and clinical trials are discussed.
Authors:
Fred Rincon; Stephan A Mayer
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Seminars in neurology     Volume:  26     ISSN:  0271-8235     ISO Abbreviation:  Semin Neurol     Publication Date:  2006 Sep 
Date Detail:
Created Date:  2006-09-13     Completed Date:  2006-11-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8111343     Medline TA:  Semin Neurol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  387-95     Citation Subset:  IM    
Affiliation:
Neurological Intensive Care Unit, Division of Stroke and Critical Care, Department of Neurology, Columbia University, New York, New York, USA.
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MeSH Terms
Descriptor/Qualifier:
Brain / blood supply,  metabolism,  physiopathology*
Brain Infarction / physiopathology,  prevention & control,  therapy*
Cerebrovascular Circulation / physiology
Heart Arrest / complications*
Humans
Hypothermia, Induced / adverse effects,  standards,  trends*
Hypoxia-Ischemia, Brain / etiology,  prevention & control,  therapy*
Reperfusion Injury / physiopathology,  prevention & control,  therapy
Treatment Outcome
Ventricular Fibrillation / complications

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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