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KMID : 1011920100110020031
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International Journal of Arrhythmia
2010 Volume.11 No. 2 p.31 ~ p.34
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Therapeutic hypothermia after cardiac arrest
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Hwang Sung-Oh
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Abstract
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Brain injury is the leading cause of death in a patient resuscitated from cardiac arrest. Therapeutic hypothermia (TH), which maintains the body temperature approximately 32 to 34℃ during the first 12 to 24 hours after resuscitation, improves the neurologic outcome after cardiac arrest. The 2005 International Liaison Committee on Resuscitation recommends the use of TH for comatose patients following successful resuscitation from cardiac arrest. TH can be accomplished by either external cooling devices or intravascular cooling methods, or both. External cooling devices include temperature regulating apparatus with cooling blankets or water circulating cold pads. Various endovascular cooling devices are in use for intravascular cooling. A rapid infusion of a large amount of iced saline will facilitate to reach the target body temperature for TH. Complications associated with hypothermia, which include infection, coagulopathy, or cardiac arrhythmias, are not frequently observed during TH after cardiac arrest.
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KEYWORD
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therapeutic hypothermia, cardiac arrest, cardiopulmonary resuscitation
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