Anesthetic Management of Successful Extracorporeal Resuscitation After Six Hours of Cardiac Arrest Due to Severe Accidental Hypothermia

Mariño, Robert Blasco; Argudo, Eduard; Ribas, M.; Robledo, X. Rogés; Martínez, Iñigo Soteras; Strapazzon, Giacomo; Darocha, Tomasz

doi:10.1053/j.jvca.2020.11.016

Cited by 8 publications

(4 citation statements)

References 16 publications

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“…A study [20] confirmed that mild hypothermia therapy could improve the success rate of cardiopulmonary resuscitation in ICUs, provide brain protection, and improve brain metabolism and microcirculation. Another report [21] showed that, compared with conventional temperature management, mild hypothermia therapy could promote the rapid recovery of comatose patients after cardiopulmonary resuscitation and reduce the neurological deficit.…”

Section: Analysis Of Evidence Summary Of Temperature Management For C...mentioning

confidence: 89%

“…In consideration of previous studies and the author's working experience, it is recommended to strictly refer to the above items and evidence to support the implementation of temperature management for comatose patients after cardiopulmonary resuscitation in ICUs. A study [ 20 ] confirmed that mild hypothermia therapy could improve the success rate of cardiopulmonary resuscitation in ICUs, provide brain protection, and improve brain metabolism and microcirculation. Another report [ 21 ] showed that, compared with conventional temperature management, mild hypothermia therapy could promote the rapid recovery of comatose patients after cardiopulmonary resuscitation and reduce the neurological deficit.…”

Section: Discussionmentioning

confidence: 99%

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Evidence Summary of Temperature Management for Comatose Patients after Cardiopulmonary Resuscitation in ICUs

Yang

et al. 2022

Applied Bionics and Biomechanics

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Objective. This study aims to select and summarize the best evidence of temperature management for comatose patients after cardiopulmonary resuscitation in intensive care units (ICUs) at home and abroad. Method. Some well-known databases at home and abroad have been searched to find the guidelines, expert consensus, original documents, evidence summaries, and systematic evaluation about temperature management for comatose patients after cardiopulmonary resuscitation in ICUs. The databases included PubMed, Up to Date, Cochrane Library, the website of Registered Nurses’ Association of Ontario, the Guideline Library of National Institute for Health and Clinical Excellence of the UK, China National Knowledge Infrastructure (CNKI), Wanfang Database, and VIP. The period for search is from the establishment of each database to the present. Two researchers who have received evidence-based nursing training and passed the examination evaluated, extracted, and integrated the literature quality with a blind method to summarize the best evidence. Results. A total of 10 pieces of literature were included in this study, including 4 in Chinese and 6 in English. Specifically, there were 4 guidelines, 1 expert consensus, 2 evidence summaries, 1 systematic evaluation, 1 literature review, and 1 comparative experiment, accounting for 40.0%, 10.0%, 20.0%, 10.0%, 10.0%, and 10.0%, respectively. The literature and materials were all qualified, and there was no heterogeneity and no significant publication bias in the included literature. The best evidence involved mild hypothermia therapy, rewarming, prevention of mild hypothermia-related complications, and nutritional support, with a total of 21 pieces of evidence (including 11, 3, 5, and 2 pieces of evidence, respectively). In terms of the recommendation grade, 7 pieces of evidence were at Grade A and 14 at Grade B. Conclusion. Health care providers should implement hypothermia management in comatose patients after cardiopulmonary resuscitation in ICUs, pay attention to the prevention of related complications, and provide enteral nutrition support.

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Section: Analysis Of Evidence Summary Of Temperature Management For C...mentioning

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Evidence Summary of Temperature Management for Comatose Patients after Cardiopulmonary Resuscitation in ICUs

Yang

et al. 2022

Applied Bionics and Biomechanics

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“…Active external rewarming, specifically forced-air surface rewarming (0.5–4 °C/h), provides controlled core temperature elevation [ 33 , 34 ]. Extra-corporeal life support (ECLS; VA-ECMO; CPB, including minimally invasive extracorporeal circulation (MiECC)), with a rewarming rate of ∼4–10 °C/h, is the preferred method for cardiac arrest patients, with ECMO being favored over CPB [ [61] , [62] , [63] , [64] , [65] , [66] , [67] , [68] , [69] , [70] , [71] , [72] ].…”

Section: Resultsmentioning

confidence: 99%

Computational insights into survival durations and prehospital interventions in accidental cold-water immersion: A comprehensive analysis of fresh and saltwater temperatures

Junaid,

Mahmud-Or-Rashid

2024

Heliyon

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“…Pirma fiksuota šios pacientės temperatūra buvo 18 0 C. Po atšildymo ir gaivinimo taikant defibriliaciją, pavyko atkurti spontaninę kraujotaką. Pacientė po 11 dienų buvo išleista namo be neurologinio deficito [5]. Aprašytas atvejis, kai 95 metų vyras po hipotermijos sukeltos asistolijos buvo sėkmingai atgaivintas ir namo išvyko be neurologinių pasekmių [6].…”

Section: Rezultatai Ir Jų Aptarimasunclassified

Terapinės Hipotermijos Istorija Ir Praktinis Taikymas

Badaras,

Šerpytis

2022

Health Sciences

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Terapinė hipotermija – kūno šaldymas iki žemesnės nei fiziologinė temperatūros. Šis gydymo metodas taikomas siekiant pagerinti asistoliją patyrusių pacientų neurologines baigtis. Šiuo metu nėra sukurto tikslaus ir konkretaus terapinės hipotermijos protokolo. Šiame straipsnyje apžvelgiame šios terapinės procedūros istoriją, fiziologinius veikimo mechanizmus ir praktinio taikymo klausimus. Nėra aiškaus sutarimo, kokią tikslinę temperatūrą reikėtų pasirinkti, kada pradėti taikyti hipotermiją, kiek laiko tęsti gydymą. Naujų tyrimų du o m e n y s k v e s t i o n u o j a t e rapinės hipotermijos naudą, palyginus su aktyviu normotermijos palaikymu. Europos gaivinimo taryba 2021 metų gairėse terapinę hipotermiją rekomenduoja visiems pacientams, patyrusiems širdies sustojimą, nepriklausomai nuo to, kur sustojo širdis, ar koks buvo širdies ritmas prieš jai sustojant.

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Anesthetic Management of Successful Extracorporeal Resuscitation After Six Hours of Cardiac Arrest Due to Severe Accidental Hypothermia

Cited by 8 publications

References 16 publications

Evidence Summary of Temperature Management for Comatose Patients after Cardiopulmonary Resuscitation in ICUs

Evidence Summary of Temperature Management for Comatose Patients after Cardiopulmonary Resuscitation in ICUs

Computational insights into survival durations and prehospital interventions in accidental cold-water immersion: A comprehensive analysis of fresh and saltwater temperatures

Terapinės Hipotermijos Istorija Ir Praktinis Taikymas

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