Therapeutic hypothermia after cardiac arrest.

Abstract:

:The use of IH for 24 hours in patients who remain comatose following resuscitation from out-of-hospital cardiac arrest improves outcomes. How-ever, the induction of hypothermia has several physiologic effects that need to be considered. A protocol for the rapid induction of hypothermia is described. At present, the rapid infusion of a large volume (40 mL/kg) of ice-cold crystalloid (ie, lactated Ringer's solution) would appear to be an inexpensive, safe strategy for the induction of hypothermia after cardiac arrest. Hypothermia (33 degrees C) should be maintained for 24 hours, followed by rewarming over 12 hours. Particular attention must be paid to potassium and glucose levels during hypothermia.

journal_name

Neurol Clin

journal_title

Neurologic clinics

authors

Bernard S

doi

10.1016/j.ncl.2005.10.007

subject

Has Abstract

pub_date

2006-02-01 00:00:00

pages

61-71

issue

1

eissn

0733-8619

issn

1557-9875

pii

S0733-8619(05)00088-5

journal_volume

24

pub_type

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