Cardiac index during therapeutic hypothermia: which target value is optimal?
نویسندگان
چکیده
This article is one of ten reviews selected from the Annual Update in Intensive Care and Emergency Medicine 2013 and co-published as a series in Critical Care. Other articles in the series can be found online at
منابع مشابه
Therapeutic hypothermia after cardiac arrest: a retrospective comparison of surface and endovascular cooling techniques.
OBJECTIVES Therapeutic hypothermia (32-34 degrees C) is recommended for comatose survivors of cardiac arrest; however, the optimal technique for cooling is unknown. We aimed to compare therapeutic hypothermia using either surface or endovascular techniques in terms of efficacy, complications and outcome. DESIGN Retrospective cohort study. SETTING Thirty-bed teaching hospital intensive care ...
متن کاملInduction of therapeutic hypothermia requires modulation of thermoregulatory defenses.
Hypothermia has been linked to beneficial neurologic outcomes in different clinical situations and its therapeutic value is considered important. For example, in asphyctic neonates and in patients with out-of-hospital cardiac arrest (with ventricular fibrillation as the initial cardiac rhythm), rapid installation of hypothermia has been reported to add substantial therapeutic benefits over nont...
متن کاملA tertiary care center's experience with therapeutic hypothermia after pediatric cardiac arrest.
OBJECTIVE To describe the use and feasibility of therapeutic hypothermia after pediatric cardiac arrest. DESIGN Retrospective cohort study. SETTING Pediatric tertiary care university hospital. PATIENTS Infants and children (age 1 wk to 21 yrs) without complex congenital heart disease with return of spontaneous circulation after in-hospital or out-of-hospital cardiac arrest from 2000 to 20...
متن کاملEffects of hypothermia on drug disposition, metabolism, and response: A focus of hypothermia-mediated alterations on the cytochrome P450 enzyme system.
OBJECTIVES Therapeutic hypothermia has been shown to decrease neurologic damage in patients experiencing out-of-hospital cardiac arrest. In addition to being treated with hypothermia, critically ill patients are treated with an extensive pharmacotherapeutic regimen. The effects of hypothermia on drug disposition increase the probability for unanticipated toxicity, which could limit its putative...
متن کاملUse of therapeutic hypothermia after in-hospital cardiac arrest: did the physicians know the guidelines?
OBJECTIVES Formal guidelines recommend that therapeutic hypothermia be considered after in-hospital cardiac arrest. The rate of therapeutic hypothermia use after in-hospital cardiac arrest and details about its implementation are unknown. We aimed to determine the use of therapeutic hypothermia for adult in-hospital cardiac arrest, whether use has increased over time, and to identify factors as...
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