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Therapeutic Hypothermia and Temperature Management

journal
https://www.readbyqxmd.com/read/28873019/the-effects-of-in-hospital-intravenous-cold-saline-in-postcardiac-arrest-patients-treated-with-targeted-temperature-management
#1
Nissi Suppogu, Gregory A Panza, Sena Kilic, Shreyas Gowdar, Kamala R Kallur, Ramya Jayaraman, Justin Lundbye, Antonio B Fernandez
BACKGROUND: Recent data suggest that rapid infusion of intravenous (IV) cold saline for Targeted Temperature Management (TTM) after cardiac arrest is associated with higher rates of rearrest, pulmonary edema, and hypoxia, with no difference in neurologic outcomes or survival when administered by Emergency Medical Services. We sought to determine the effects of IV cold saline administration in the hospital setting in postcardiac arrest patients to achieve TTM and its effect on clinical parameters and neurologic outcomes...
September 5, 2017: Therapeutic Hypothermia and Temperature Management
https://www.readbyqxmd.com/read/28829674/the-fall-brings-new-heights
#2
W Dalton Dietrich
No abstract text is available yet for this article.
August 22, 2017: Therapeutic Hypothermia and Temperature Management
https://www.readbyqxmd.com/read/28813633/unique-uses-of-cooling-strategies
#3
Fred Rincon, Morten Bestle, Gregor Brossner, Jitka Vanderpol
No abstract text is available yet for this article.
August 16, 2017: Therapeutic Hypothermia and Temperature Management
https://www.readbyqxmd.com/read/28813616/targeted-temperature-management-in-nursing-care
#4
Justin Lundbye, Heather Hand, Mark Adams, Lindsay Boyd
No abstract text is available yet for this article.
August 16, 2017: Therapeutic Hypothermia and Temperature Management
https://www.readbyqxmd.com/read/28800291/therapeutic-hypothermia-and-targeted-temperature-management-with-or-without-the-cold-stress-response
#5
Patrick M Kochanek, Travis C Jackson
No abstract text is available yet for this article.
August 11, 2017: Therapeutic Hypothermia and Temperature Management
https://www.readbyqxmd.com/read/28800288/population-based-study-of-the-national-implementation-of-therapeutic-hypothermia-in-infants-with-hypoxic-ischemic-encephalopathy
#6
Juan Arnaez, Alfredo García-Alix, Gemma Arca, Sonia Caserío, Eva Valverde, M Teresa Moral, Isabel Benavente-Fernández, Simón Lubián-López
Data on the incidence of hypoxic-ischemic encephalopathy (HIE) in the first 6 hours of life together with the implementation of therapeutic hypothermia (TH) are relevant to delineate actions to achieve the lowest rates of neonatal mortality, morbidity, and long-term impact on health associated with HIE. This is population-based national survey study, including newborns ≥35 weeks of gestation with moderate-to-severe HIE from all level III neonatal care units, to provide the incidence of HIE for the period 2012-2013, and the implementation of TH up to June 2015 in Spain...
August 11, 2017: Therapeutic Hypothermia and Temperature Management
https://www.readbyqxmd.com/read/28783474/clinical-q-a-translating-therapeutic-temperature-management-from-theory-to-practice
#7
Sarah Livesay, Stephen A Figueroa, Leslie A Hamilton, William D Cahoon, Patricia A Blissitt
No abstract text is available yet for this article.
August 7, 2017: Therapeutic Hypothermia and Temperature Management
https://www.readbyqxmd.com/read/28731840/clinical-effect-of-rebound-hyperthermia-after-cooling-postcardiac-arrest-a-meta-analysis
#8
Parth Makker, Yumiko Kanei, Deepkia Misra
Rebound hyperthermia (RH) is frequently seen after completion of targeted temperature management (TTM) in comatose survivors of cardiac arrest. However, its clinical significance is not well understood. Previous studies analyzing the association of RH with clinical outcome have reported conflicting results. The purpose of this meta-analysis is to examine the impact of RH after completion of TTM in patients postcardiac arrest. We reviewed six studies that evaluated the incidence of RH (T > 38°C) with documentation of outcome based on the presence of hyperthermia...
July 21, 2017: Therapeutic Hypothermia and Temperature Management
https://www.readbyqxmd.com/read/28708472/rectal-instillation-of-cold-fluids-for-targeted-temperature-management-after-cardiac-arrest-a-case-report
#9
Andrej Markota, Jure Fluher, Andreja Sinkovič
The optimal method of temperature management after cardiac arrest remains unknown. Methods that are most effective are usually invasive and expensive. Noninvasive methods are not as effective and obstruct access to the patient. Temperature management via rectal cooling offers some potential advantages in survivors of cardiac arrest, namely, relatively large volumes of temperature-controlled fluids can be instilled, access to the patient is not obstructed, and fluid overload can be ameliorated by removal of a fraction of instilled fluid...
July 14, 2017: Therapeutic Hypothermia and Temperature Management
https://www.readbyqxmd.com/read/28708464/effect-of-whole-body-hypothermia-on-surfactant-function-when-amniotic-fluid-is-meconium-stained
#10
Chiara Autilio, Mercedes Echaide, Valentina Dell'Orto, Jesus Perez-Gil, Daniele De Luca
We provide the first complete biophysical study of surfactant by captive bubble surfactometry from a neonate with meconium-stained amniotic fluid under controlled whole body hypothermia. Surfactant function improves after 48 hours of hypothermia, as surfactant cholesterol decreases. These findings partially explain positive effect of hypothermia on respiratory outcomes during meconium aspiration syndrome. A larger study including several neonates with or without lung disease is being conducted to better define the effect of hypothermia on surfactant function...
July 14, 2017: Therapeutic Hypothermia and Temperature Management
https://www.readbyqxmd.com/read/28665255/hypothermia-identifies-dynamin-as-a-potential-therapeutic-target-in-experimental-stroke
#11
Jong Youl Kim, Nuri Kim, Jong Eun Lee, Midori A Yenari
Apoptosis is a cell death pathway that is activated in ischemic stroke. The interaction between Fas and its ligand (FasL) initiates a complex pattern of intracellular events involving the recruitment of specific adaptor proteins and the development of apoptosis. We recently reported that dynamin is increased after experimental stroke, and its inhibition improves neurological outcome. Dynamin has been shown to transport Fas from the endoplasmic reticulum to the cell surface where it can be bound by its ligand, FasL...
June 30, 2017: Therapeutic Hypothermia and Temperature Management
https://www.readbyqxmd.com/read/28665234/magnesium-levels-and-neurologic-outcomes-in-patients-undergoing-therapeutic-hypothermia-after-cardiac-arrest
#12
William H Perucki, Brett Hiendlmayr, David M O'Sullivan, Angeline C Gunaseelan, Farruk Fayas, Antonio B Fernandez
Therapeutic hypothermia (TH) improves neurological outcomes after cardiac arrest by mitigating cerebral reperfusion injury. Serum magnesium (Mg) inhibits glutamate release, restores blood-brain barrier integrity, and decreases brain edema. The neuroprotective role of Mg in cardiac arrest patients undergoing TH is not well established. We analyzed 438 survivors of cardiac arrest who completed a TH protocol from 2008 through 2016. Multivariate and receiver operating characteristic (ROC) analyses examined the association between Mg supplementation and Mg levels before, during, and after TH with neurologic outcomes...
June 30, 2017: Therapeutic Hypothermia and Temperature Management
https://www.readbyqxmd.com/read/28617214/clinical-q-a-translating-therapeutic-temperature-management-from-theory-to-practice
#13
William D Cahoon, Stephen A Figueroa, Teresa Wavra, Mary McKenna Guanci, Claranne Mathiesen, Leslie A Hamilton
No abstract text is available yet for this article.
June 2017: Therapeutic Hypothermia and Temperature Management
https://www.readbyqxmd.com/read/28586295/temperature-management-in-neurological-and-neurosurgical-intensive-care-unit
#14
Patrick Lyden, Stephan A Mayer, Keith Lurie, Erich Schmutzhard
No abstract text is available yet for this article.
June 2017: Therapeutic Hypothermia and Temperature Management
https://www.readbyqxmd.com/read/28570829/therapeutic-hypothermia-for-asphyxial-out-of-hospital-cardiac-arrest-due-to-drowning-a-systematic-review-of-case-series-and-case-reports
#15
Kai-Fung Kevin Suen, Reynold Leung, Ling-Pong Leung
The objective of this review was to summarize published evidence of the effectiveness of therapeutic hypothermia in patients with drowning-associated asphyxial out-of-hospital cardiac arrest (OHCA) and to explore any preliminary favorable factors in the management of therapeutic hypothermia to improve survival and neurological outcome. Drowning may result in asphyxial OHCA or hypothermic OHCA, but the former does not provide any potential neuroprotective effect as the latter may do. Electronic literature searches of Ovid Medline, Embase, Cochrane Library, and Scopus were performed for all years from inception to July 2016...
June 1, 2017: Therapeutic Hypothermia and Temperature Management
https://www.readbyqxmd.com/read/28561599/intraoperative-temperature-management
#16
Stephan A Mayer, Marlene Fischer, Kees H Polderman, Coleen Atkins
No abstract text is available yet for this article.
June 2017: Therapeutic Hypothermia and Temperature Management
https://www.readbyqxmd.com/read/28557636/therapeutic-hypothermia-and-temperature-management
#17
W Dalton Dietrich
No abstract text is available yet for this article.
June 2017: Therapeutic Hypothermia and Temperature Management
https://www.readbyqxmd.com/read/28437236/temperature-variation-after-rewarming-from-deep-hypothermic-circulatory-arrest-is-associated-with-survival-and-neurologic-outcome
#18
Alessio Rungatscher, Giovanni Battista Luciani, Daniele Linardi, Elisabetta Milani, Leonardo Gottin, Beat Walpoth, Giuseppe Faggian
Therapeutic hypothermia is recommended by international guidelines after cardio-circulatory arrest. However, the effects of different temperatures during the first 24 hours after deep hypothermic circulatory arrest (DHCA) for aortic arch surgery on survival and neurologic outcome are undefined. We hypothesize that temperature variation after aortic arch surgery is associated with survival and neurologic outcome. In the period 2010-2014, a total of 210 consecutive patients undergoing aortic arch surgery with DHCA were included...
June 2017: Therapeutic Hypothermia and Temperature Management
https://www.readbyqxmd.com/read/28418788/factors-associated-with-delayed-cooling-in-cardiac-arrest-patients
#19
David A Pearson, Katherine Mayer, Catherine M Wares, Michael S Runyon, Jonathan R Studnek, Shana L Ward, Kathi M Kraft, Alan C Heffner
Therapeutic hypothermia has been shown to improve neurologic outcome in medical cardiac arrest patients, yet little is known about factors that delay target temperature achievement. Our primary aim was to identify factors associated with not achieving our institutional "door-to-cool" (DTC) performance goal (emergency department [ED] arrival to temperature of 34°C) of ≤4 hours. Secondary aims included whether achievement of DTC goal was associated with timing of bolus neuromuscular blockade (NMB), survival, or functional outcome...
June 2017: Therapeutic Hypothermia and Temperature Management
https://www.readbyqxmd.com/read/27982758/burst-suppression-in-hypothermia-after-cardiac-arrest-because-of-drowning-treated-with-targeted-temperature-management-a-case-report
#20
Tomoya Okazaki, Toru Hifumi, Satoshi Egawa, Hideyuki Hamaya, Natsuyo Shinohara, Shohei Kawamoto, Takuma Iwaki, Kohei Tsukahara, Kenya Kawakita, Takashi Kusaka, Yasuhiro Kuroda
Outcomes of cardiac arrest (CA) because of drowning in children are generally poor, but some reports show that cases with post-CA hypothermia because of drowning exhibit good recovery when treated with targeted temperature management (TTM). However, because electroencephalogram (EEG) findings are not reported in those cases, a complete examination of brain damage has not been performed during TTM. Here we report a case of a 15-month-old boy with post-CA hypothermia recovery after treating with TTM, along with EEG findings...
June 2017: Therapeutic Hypothermia and Temperature Management
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