Therapeutic Hypothermia after Prolonged Cardiac Arrest: Case Report with Review of Literature
Patients who survive cardiac arrest often develop severe neurological dysfunction due to the hypoxic brain injury and reperfusion induced cell death. Therapeutic hypothermia (TH) has become a standard therapy of cerebral protection following the successful return of spontaneous circulation in pati...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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JCDR Research and Publications Private Limited
2015-09-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/6491/14918_CE(RA1)_F(T)_PF1(AGAK)_PFA(AK)_PF2(PAG).pdf |
| _version_ | 1818528979220430848 |
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| author | Gautam Rawal Sankalp Yadav Nitin Garg |
| author_facet | Gautam Rawal Sankalp Yadav Nitin Garg |
| author_sort | Gautam Rawal |
| collection | DOAJ |
| description | Patients who survive cardiac arrest often develop severe neurological dysfunction due to the hypoxic brain injury and reperfusion induced
cell death. Therapeutic hypothermia (TH) has become a standard therapy of cerebral protection following the successful return of
spontaneous circulation in patients of out-of-hospital cardiac arrest, according to American heart association guidelines. This is a case
report of a 30-year-old patient who developed in-hospital cardiac arrest and was revived after prolonged cardiopulmonary resuscitation
(CPR) and also required primary angioplasty. TH was then established with local measures for 24 hours for cerebral protection. The
patient was gradually and successfully weaned off from ventilator with no neurological impairment. There is an increasing evidence of TH
and its protective mechanisms in patients with non-shockable arrest rhythms with particular emphasis on neurological outcomes. This
article emphasizes the role of TH in every successful CPR irrespective of the cardiac rhythm. |
| first_indexed | 2024-12-11T06:57:07Z |
| format | Article |
| id | doaj.art-4bbca717a2844cdc822009d2e43b2772 |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-12-11T06:57:07Z |
| publishDate | 2015-09-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-4bbca717a2844cdc822009d2e43b27722022-12-22T01:16:44ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2015-09-0199OD01OD0210.7860/JCDR/2015/14918.6491Therapeutic Hypothermia after Prolonged Cardiac Arrest: Case Report with Review of LiteratureGautam Rawal0Sankalp Yadav1Nitin Garg2Attending Consultant-Critical Care, Rockland Hospital, Qutab Institutional Area, New Delhi, India.General Duty Medical Officer-II, Chest Clinic, Moti Nagar, New Delhi, India.Senior Consultant and Head-Critical Care, Rockland Hospital, Qutab Institutional Area, New Delhi, India.Patients who survive cardiac arrest often develop severe neurological dysfunction due to the hypoxic brain injury and reperfusion induced cell death. Therapeutic hypothermia (TH) has become a standard therapy of cerebral protection following the successful return of spontaneous circulation in patients of out-of-hospital cardiac arrest, according to American heart association guidelines. This is a case report of a 30-year-old patient who developed in-hospital cardiac arrest and was revived after prolonged cardiopulmonary resuscitation (CPR) and also required primary angioplasty. TH was then established with local measures for 24 hours for cerebral protection. The patient was gradually and successfully weaned off from ventilator with no neurological impairment. There is an increasing evidence of TH and its protective mechanisms in patients with non-shockable arrest rhythms with particular emphasis on neurological outcomes. This article emphasizes the role of TH in every successful CPR irrespective of the cardiac rhythm.https://jcdr.net/articles/PDF/6491/14918_CE(RA1)_F(T)_PF1(AGAK)_PFA(AK)_PF2(PAG).pdfasystolecardiopulmonary resuscitationneurological outcomereturn of spontaneous circulation |
| spellingShingle | Gautam Rawal Sankalp Yadav Nitin Garg Therapeutic Hypothermia after Prolonged Cardiac Arrest: Case Report with Review of Literature Journal of Clinical and Diagnostic Research asystole cardiopulmonary resuscitation neurological outcome return of spontaneous circulation |
| title | Therapeutic Hypothermia after Prolonged Cardiac Arrest: Case Report with Review of Literature |
| title_full | Therapeutic Hypothermia after Prolonged Cardiac Arrest: Case Report with Review of Literature |
| title_fullStr | Therapeutic Hypothermia after Prolonged Cardiac Arrest: Case Report with Review of Literature |
| title_full_unstemmed | Therapeutic Hypothermia after Prolonged Cardiac Arrest: Case Report with Review of Literature |
| title_short | Therapeutic Hypothermia after Prolonged Cardiac Arrest: Case Report with Review of Literature |
| title_sort | therapeutic hypothermia after prolonged cardiac arrest case report with review of literature |
| topic | asystole cardiopulmonary resuscitation neurological outcome return of spontaneous circulation |
| url | https://jcdr.net/articles/PDF/6491/14918_CE(RA1)_F(T)_PF1(AGAK)_PFA(AK)_PF2(PAG).pdf |
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