Therapeutic hypothermia after exsanguination

Anesthesia and Analgesia
Stuart McGraneNahel N Saied

Abstract

Therapeutic hypothermia has been shown to be effective in out-of-hospital cardiac arrest, and use of this therapy has been expanded to involve in-hospital cardiac arrest. The utility of hypothermia in cardiac arrest after hemorrhage is not known. We describe a case of successful neurological and functional outcome after in-hospital pulseless electrical activity arrest secondary to exsanguination from an internal carotid artery rupture. Therapeutic hypothermia by surface cooling was initiated after acute control of the bleeding source, restoration of circulating blood volume, and hemodynamic stabilization. We believe therapeutic hypothermia use will continue to increase for in-hospital cardiac arrests.

References

Feb 1, 1995·The Journal of Trauma·A SauaiaP T Pons
Sep 1, 1994·The Journal of Trauma·T D JohnstonR L Reed
Feb 22, 2002·The New England Journal of Medicine·UNKNOWN Hypothermia after Cardiac Arrest Study Group
Jul 5, 2002·The New England Journal of Medicine·Stephan A PadoschBernd W Böttiger
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Jun 9, 2005·Critical Care Medicine·Henry E WangSamuel A Tisherman
Dec 25, 2007·Anesthesiology·Suman RajagopalanDaniel I Sessler
Jun 26, 2009·Critical Care Medicine·Kees H Polderman
Jun 26, 2009·Critical Care Medicine·Stephen Bernard

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Citations

May 20, 2014·Therapeutic Hypothermia and Temperature Management·Gail DelfinBenjamin S Abella
Nov 26, 2014·Therapeutic Hypothermia and Temperature Management·Mary Kay Bader

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