Intra-arrest hypothermia: Both cold liquid ventilation with perfluorocarbons and cold intravenous saline rapidly achieve hypothermia, but only cold liquid ventilation improves resumption of spontaneous circulation
نویسندگان
چکیده
منابع مشابه
Hypothermia and localized cold injuries.
Hypothermia and localized cold injuries are largely preventable with proper preparation for activities in cold environments. Proficient field management is crucial to the final outcome in terms of function and viability because proper care is vital to preventing exacerbation of the initial exposure and injury. Rapid rewarming is optimal when further cold exposure can be avoided reliably. Repeti...
متن کاملPrehospital induction of mild hypothermia with cold normal saline for cardiac arrest: more harm than good?
Methods Objective: To determine whether prehospital cooling improves outcomes after resuscitation from cardiac arrest in patients with ventricular fibrillation (VF) and without VF. Design: A randomized clinical trial that assigned adults with prehospital cardiac arrest to standard care with or without prehospital cooling. Patient follow-up was completed by May 1, 2013. Nearly all of the patient...
متن کاملTotal and Partial Liquid Ventilation Using Perfluorocarbons
Introduction The possibilities of using liquid instead of air in the exchange of gases have always fascinated researchers. The first studied liquid was saline solution which appeared to be unsuitable for transporting gases in normobaria. Its capacity to dissolve oxygen is low, and its viscosity and density are high as compared with air. Moreover, the introduction of saline into the lung can rem...
متن کاملImproved Survival with Therapeutic Hypothermia after Cardiac Arrest with Cold Saline and Surfacing Cooling: Keep It Simple
Aim. To evaluate whether the introduction of a therapeutic hypothermia (TH) protocol consisting of cold saline infusion and surface cooling would be effective in targeting mild therapeutic hypothermia (32-34°C). Additionally, to evaluate if TH would improve survival after cardiac arrest. Design. Before-after design. Setting. General Intensive Care Unit (ICU) at an urban general hospital with 47...
متن کاملOptimization of induction of mild therapeutic hypothermia with cold saline infusion: A laboratory experiment.
Cold fluid infusions can be used to induce mild therapeutic hypothermia after cardiac arrest. Fluid temperature higher than 4°C can increase the volume of fluid needed, prolong the induction phase of hypothermia and thus contribute to complications. We performed a laboratory experiment with two objectives. The first objective was to analyze the effect of wrapping fluid bags in ice packs on the ...
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ژورنال
عنوان ژورنال: Resuscitation
سال: 2009
ISSN: 0300-9572
DOI: 10.1016/j.resuscitation.2009.01.016