A Comparison of Cooling Techniques to Treat Cardiac Arrest Patients with Hypothermia

被引：22

作者：

Caulfield, Anna Finley ^{[1
]}

Rachabattula, Shylaja ^{[1
]}

Eyngorn, Irina ^{[1
]}

Hamilton, Scott A. ^{[1
]}

Kalimuthu, Rajalakshmi ^{[1
]}

Hsia, Amie W. ^{[2
]}

Lansberg, Maarten G. ^{[1
]}

Venkatasubramanian, Chitra ^{[1
]}

Baumann, J. J. ^{[1
]}

Buckwalter, Marion S. ^{[1
]}

Kumar, Monisha A. ^{[3
]}

Castle, James S. ^{[4
]}

Wijman, Christine A. C. ^{[1
]}

机构：

[1] Stanford Univ Sch Med Ctr, Stanford Stroke Ctr, Stanford Neurocrit Care Program, Palo Alto, CA 94304 USA

[2] Stroke Washington Hosp Ctr, Washington, DC 20010 USA

[3] Hosp Univ Penn, Dept Neurol, Philadelphia, PA 19104 USA

[4] Univ Chicago, NorthShore Univ Hlth Syst, Dept Neurol, Evanston, IL 60201 USA

来源：

STROKE RESEARCH AND TREATMENT | 2011年 / 2011卷

关键词：

D O I：

10.4061/2011/690506

中图分类号：

R6 [外科学];

学科分类号：

1002 [临床医学]; 100210 [外科学];

摘要：

Introduction. We sought to compare the performance of endovascular cooling to conventional surface cooling after cardiac arrest. Methods. Patients in coma following cardiopulmonary resuscitation were cooled with an endovascular cooling catheter or with ice bags and cold-water-circulating cooling blankets to a target temperature of 32.0-34.0 degrees C for 24 hours. Performance of cooling techniques was compared by (1) number of hourly recordings in target temperature range, (2) time elapsed from the written order to initiate cooling and target temperature, and (3) adverse events during the first week. Results. Median time in target temperature range was 19 hours (interquartile range (IQR), 16-20) in the endovascular group versus. 10 hours (IQR, 7-15) in the surface group (P = .001). Median time to target temperature was 4 (IQR, 2.8-6.2) and 4.5 (IQR, 3-6.5) hours, respectively (P = .67). Adverse events were similar. Conclusion. Endovascular cooling maintains target temperatures better than conventional surface cooling.

引用

页数：6

共 18 条

[1]

Induced hypothermia is underused after resuscitation from cardiac arrest: a current practice survey [J].