Role of hypothermia in cerebral protection after cardiac arrest
Publication in refereed journal


香港中文大学研究人员 ( 现职)

Professor Charles David GOMERSALL (麻醉及深切治疗学系)

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Scopushttp://aims.cuhk.edu.hk/converis/portal/Publication/1Scopus source URL

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摘要Two randomized controlled studies have shown a meaningful improvement in outcome in survivors of out of hospital cardiac arrest who were treated with therapeutic hypothermia. At present proof of benefit is restricted to those with persistent coma after out of hospital arrest due to ventricular fibrillation or pulseless ventricular tachycardia. Important exclusion criteria are shock and primary coagulopathy (but not thrombolysis). In these patients the adverse effects of hypothermia (which include arrhythmias, infection and coagulopathy) are more likely to, at least partially, offset the benefits. At present external cooling is the recommended method of cooling but the use of rapid infusion of cold intravenous fluids may be useful in patients with good respiratory function.

着者Gomersall C.D.
期刊名称CRITICAL CARE AND SHOCK
出版年份2004
月份5
日期http://aims.cuhk.edu.hk/converis/portal/Publication/1
卷号7
期次2
出版社Indonesian Society of Critical Care Medicine
出版地Indonesia
页次96 - 98
国际标準期刊号http://aims.cuhk.edu.hk/converis/portal/Publication/14http://aims.cuhk.edu.hk/converis/portal/Publication/10-7767
语言英式英语

关键词Death, sudden, cardiac, Heart arrest, Hypothermia, induced, Ventricular fibrillation