186 Correlates of Outcomes for 131 Consecutive Cardiac Arrest Patients Having Undergone Therapeutic Hypothermia at a Single Canadian Tertiary Referral Medical Center

2012 ◽  
Vol 28 (5) ◽  
pp. S161
Author(s):  
P. Champagne ◽  
S. Tilley ◽  
R. Taylor ◽  
G. Schnell
Keyword(s):  
Cardiac Arrest ◽  
Therapeutic Hypothermia ◽  
Medical Center ◽  
Tertiary Referral

scholarly journals Therapeutic Hypothermia after Cardiac Arrest: Experience at an Academically Affiliated Community-Based Veterans Affairs Medical Center

2011 ◽  
Vol 2011 ◽  
pp. 1-8 ◽  
Author(s):  
Maulik P. Shah ◽  
Leslie Zimmerman ◽  
Jean Bullard ◽  
Midori A. Yenari
Keyword(s):  
Cardiac Arrest ◽  
Therapeutic Hypothermia ◽  
Medical Center ◽  
Cerebral Performance Category ◽  
Case Series ◽  
Pulseless Electrical Activity ◽  
Community Setting ◽  
Veterans Affairs ◽  
Community Based ◽  
Mean Time

At laboratory and clinical levels, therapeutic hypothermia has been shown to improve neurologic outcomes and mortality following cardiac arrest. We reviewed each cardiac arrest in our community-based Veterans Affairs Medical Center over a three-year period. The majority of cases were in-hospital arrests associated with initial pulseless electrical activity or asystole. Of a total of 100 patients suffering 118 cardiac arrests, 29 arrests involved comatose survivors, with eight patients completing therapeutic cooling. Cerebral performance category scores at discharge and six months were significantly better in the cooled cohort versus the noncooled cohort, and, in every case except for one, cooling was offered for appropriate reasons. Mean time to initiation of cooling protocol was 3.7 hours and mean time to goal temperature of 33∘C was 8.8 hours, and few complications clearly related to cooling were noted in our case series. While in-patient hospital mortality of cardiac arrest was high at 65% mortality during hospital admission, therapeutic hypothermia was safe and feasible at our center. Our cooling times and incidence of favorable outcomes are comparable to previously published reports. This study demonstrates the feasibility of implementing, a cooling protocol a community setting, and the role of neurologists in ensuring effective hospital-wide implementation.

scholarly journals Higher achieved mean arterial pressure during therapeutic hypothermia is not associated with neurologically intact survival following cardiac arrest

Resuscitation ◽  
2015 ◽  
Vol 88 ◽  
pp. 158-164 ◽  
Author(s):  
Michael N. Young ◽  
Ryan D. Hollenbeck ◽  
Jeremy S. Pollock ◽  
Jennifer L. Giuseffi ◽  
Li Wang ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Mean Arterial Pressure ◽  
Arterial Pressure ◽  
Therapeutic Hypothermia ◽  
Neurologically Intact

Rhabdomyolysis following therapeutic hypothermia after traumatic cardiac arrest

Resuscitation ◽  
2011 ◽  
Vol 82 (4) ◽  
pp. 493 ◽  
Author(s):  
M. Ciapetti ◽  
S. di Valvasone ◽  
R. Spina ◽  
A. Peris
Keyword(s):  
Cardiac Arrest ◽  
Therapeutic Hypothermia ◽  
Traumatic Cardiac Arrest

The pituitary–adrenal axis is activated more in non-survivors than in survivors of cardiac arrest, irrespective of therapeutic hypothermia

Resuscitation ◽  
2008 ◽  
Vol 78 (3) ◽  
pp. 281-288 ◽  
Author(s):  
Margriet F.C. de Jong ◽  
Albertus Beishuizen ◽  
Martin J. de Jong ◽  
Armand R.J. Girbes ◽  
A.B. Johan Groeneveld
Keyword(s):  
Cardiac Arrest ◽  
Therapeutic Hypothermia ◽  
Adrenal Axis ◽  
Pituitary Adrenal Axis
Sign in / Sign up

Export Citation Format

Share Document