Determination of brain death/death by neurologic criteria in patients treated with targeted temperature management
نویسندگان
چکیده
体温管理療法（targeted temperature management, TTM）を施行した場合の脳死/神経学的基準による死（brain death/death by neurologic criteria, BD/DNC）の判定においては，低体温が一時的に脳幹反射を鈍らせる可能性があること，およびTTMで使用した薬物代謝が低体温により遅延することが影響する可能性に注意する必要がある。BD/DNCの判定は，36℃以上に復温完了してから少なくとも24時間以上経過してから行う。また，鎮静薬を投与していた場合には，投与終了後から投与した薬物の半減期の少なくとも5倍の期間は待つことが必要である。
منابع مشابه
Targeted temperature management in traumatic brain injury
Traumatic brain injury (TBI) is recognized as the significant cause of mortality and morbidity in the world. To reduce unfavorable outcome in TBI patients, many researches have made much efforts for the innovation of TBI treatment. With the results from several basic and clinical studies, targeted temperature management (TTM) including therapeutic hypothermia (TH) have been recognized as the ca...
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OBJECTIVE We investigated the association between lactate clearance or serum lactate levels and neurologic outcomes or in-hospital mortality in cardiac arrest survivors who were treated with targeted temperature management (TTM). METHODS A retrospective analysis of data from cardiac arrest survivors treated with TTM between 2012 and 2015 was conducted. Serum lactate levels were measured on ad...
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OBJECTIVE The prognostic value of changes in neutrophil-to-lymphocyte ratios (NLR) in cardiac arrest survivors receiving targeted temperature management (TTM) is unknown. The current study investigated NLR in postcardiac arrest (PCA) patients undergoing TTM. METHODS This retrospective single-center study included 95 patients (59 males, age: 55.0±17.0 years) with in-hospital and out-of-hospita...
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ژورنال
عنوان ژورنال: Nihon Shu?chu? Chiryo? Igakukai zasshi
سال: 2022
ISSN: ['1340-7988', '1882-966X']
DOI: https://doi.org/10.3918/jsicm.29_s30