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Báo cáo khoa học: " Efficacy of and tolerance to mild induced hypothermia after out-of-hospital cardiac arrest using an endovascular cooling system"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Efficacy of and tolerance to mild induced hypothermia after out-of-hospital cardiac arrest using an endovascular cooling system. | Available online http ccforum.eom content 11 3 R71 Research Efficacy of and tolerance to mild induced hypothermia after out-of-hospital cardiac arrest using an endovascular cooling system Nicolas Pichon1 Jean Bernard Amiel1 Bruno Franpois1 Anthony Dugard1 Caroline Etchecopar2 and Philippe Vignon1 Intensive Care Unit Dupuytren University Hospital 2 Avenue Martin Luther King 87000 Limoges France 2Department of Cardiology Dupuytren University Hospital 2 Avenue Martin Luther King 87000 Limoges France Corresponding author Nicolas Pichon n.pichon@chu-limoges.fr Received 30 Jan 2007 Revisions requested 10 Apr 2007 Revisions received 22 May 2007 Accepted 28 Jun 2007 Published 28 Jun 2007 Critical Care 2007 11 R71 doi 10.1186 cc5956 This article is online at http ccforum.com content 11 3 R71 2007 Pichon et al. licensee BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Open Access Abstract Introduction We evaluated the efficacy of and tolerance to mild therapeutic hypothermia achieved using an endovascular cooling system and its ability to reach and maintain a target temperature of 33 C after cardiac arrest. Methods This study was conducted in the medical-surgical intensive care unit of an urban university hospital. Forty patients admitted to the intensive care unit following out-of-hospital cardiac arrest underwent mild induced hypothermia MIH . Core temperature was monitored continuously for five days using a Foley catheter equipped with a temperature sensor. Any equipment malfunction was noted and all adverse events attributable to MIH were recorded. Neurological status was evaluated daily using the Pittsburgh Cerebral Performance Category CPC . We also recorded the mechanism of cardiac arrest the Simplified Acute Physiologic Score II on .