| Therapeutic hypothermia induced during cardiopulmonary resuscitation using large-volume, ice-cold intravenous fluid. | |
| | |
MedLine Citation:
|
PMID: 17765383 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
INTRODUCTION: Therapeutic hypothermia after resuscitation improves outcome following prolonged out-of-hospital cardiac arrest. Laboratory studies suggest that this therapy may improve outcome further when induced during cardiopulmonary resuscitation. We report a case where therapeutic hypothermia was induced during cardiopulmonary resuscitation using large-volume (40 mL/kg), ice-cold (4 degrees C) intravenous fluid. DESIGN: Case report. SETTING: A tertiary level hospital in Victoria, Australia. CASE REPORT: The patient suffered a cardiac arrest secondary to pericardial tamponade following right ventricular perforation during cardiac catheterisation. Percutaneous needle drainage was unsuccessful and open drainage via a left emergency thoracotomy was performed. Therapeutic hypothermia during cardiopulmonary resuscitation was induced using of a rapid infusion of large-volume (40 mL/kg), ice-cold (4 degrees C) crystalloid fluid. A spontaneous circulation was restored after 37 min of cardiac arrest. The patient made a satisfactory neurological recovery. CONCLUSION: Treatment with a rapid intravenous infusion of large-volume (40 mL/kg), ice-cold (4 degrees C) fluid during cardiopulmonary resuscitation induces mild hypothermia and may provide neurological protection. Further clinical studies of this approach are warranted. |
| | |
Authors:
|
Stephen A Bernard; Alexander Rosalion |
Related Documents
:
|
16634943 - Successful resuscitation from cardiac arrest associated with extradural lidocaine in a ... 2039323 - Brain protection during circulatory arrest. 12621103 - Plasminogen activator inhibitor-1 in patients with kawasaki disease: diagnostic value f... |
Publication Detail:
|
Type: Case Reports; Journal Article Date: 2007-08-31 |
Journal Detail:
|
Title: Resuscitation Volume: 76 ISSN: 0300-9572 ISO Abbreviation: Resuscitation Publication Date: 2008 Feb |
Date Detail:
|
Created Date: 2008-01-15 Completed Date: 2008-04-15 Revised Date: 2009-08-25 |
Medline Journal Info:
|
Nlm Unique ID: 0332173 Medline TA: Resuscitation Country: Ireland |
Other Details:
|
Languages: eng Pagination: 311-3 Citation Subset: IM |
Affiliation:
|
The Intensive Care Unit, Knox Private Hospital, 262 Mountain Highway, Wantirna South, Victoria 3154, Australia. stephen.bernard@healthscope.com.au |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Body Temperature Cardiac Tamponade / therapy Cardiopulmonary Resuscitation / methods* Emergency Medical Services Female Heart Arrest / physiopathology, therapy* Humans Hypothermia, Induced / methods* Infusions, Intravenous Isotonic Solutions / administration & dosage* Middle Aged Temperature |
| Chemical | |
Reg. No./Substance:
|
0/Isotonic Solutions |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: A 90-day subchronic toxicity study of nivalenol, a trichothecene mycotoxin, in F344 rats.
Next Document: Sensitivity and specificity of an automated external defibrillator algorithm designed for pediatric ...