Abstract:
:A middle age man underwent immediate cardiopulmonary resuscitation (CPR) for ventricular fibrillation (VF) occurred in an ambulance. After arrival in a regional hospital, return of spontaneous circulation (ROSC) was achieved 82 minutes after the collapse. He was in coma even three hours after ROSC. So, he was transferred to our university hospital to receive therapeutic hypothermia (TH). An initial bispectral index (BIS) value suggested a favorable outcome. Thus we decided to aggressive therapies including TH of 34°C for 48 hours, followed by a very slow rewarming at the rate of 1°C per day. Eventually he was discharged from the hospital with good neurological state. This case shows us two points: 1) the importance of the chain of survival: CPR done immediately after the collapse, persistent CPR for refractory VF, followed by coronary interventions after ROSC, continuing care to the university hospital, 2) decision making for TH using BIS monitoring.
journal_name
Ther Hypothermia Temp Managjournal_title
Therapeutic hypothermia and temperature managementauthors
Matsumoto H,Umakoshi K,Kikuchi S,Uemura S,Takahashi K,Takeba J,Ohboshi M,Aibiki Mdoi
10.1089/ther.2014.0021subject
Has Abstractpub_date
2015-03-01 00:00:00pages
17-8issue
1eissn
2153-7658issn
2153-7933journal_volume
5pub_type
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pub_type: 杂志文章
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pub_type: 杂志文章
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journal_title:Therapeutic hypothermia and temperature management
pub_type: 杂志文章
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pub_type: 杂志文章
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journal_title:Therapeutic hypothermia and temperature management
pub_type: 杂志文章
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更新日期:2014-06-01 00:00:00
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journal_title:Therapeutic hypothermia and temperature management
pub_type: 杂志文章
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pub_type: 杂志文章,随机对照试验
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更新日期:2015-09-01 00:00:00
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pub_type: 杂志文章
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journal_title:Therapeutic hypothermia and temperature management
pub_type: 杂志文章
doi:10.1089/ther.2013.0018
更新日期:2014-03-01 00:00:00
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journal_title:Therapeutic hypothermia and temperature management
pub_type: 杂志文章
doi:10.1089/ther.2012.0015
更新日期:2012-09-01 00:00:00
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pub_type: 杂志文章
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更新日期:2017-03-01 00:00:00
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journal_title:Therapeutic hypothermia and temperature management
pub_type: 杂志文章,meta分析,评审
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更新日期:2017-12-01 00:00:00
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journal_title:Therapeutic hypothermia and temperature management
pub_type: 杂志文章
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更新日期:2012-06-01 00:00:00
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journal_title:Therapeutic hypothermia and temperature management
pub_type: 杂志文章
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更新日期:2015-12-01 00:00:00
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journal_title:Therapeutic hypothermia and temperature management
pub_type: 杂志文章
doi:10.1089/ther.2013.0015
更新日期:2013-12-01 00:00:00