- 期刊
- OpenAccess
Intact Neurological Status after Induced Therapeutic Hypothermia in Cardiac Arrest
並列摘要
Introduction: Cardiac arrest patients in whom return of spontaneous circulation (ROSC) is achieved after resuscitation frequently develop irreversible neurological impairments owing to hypoxic injury and reperfusion induced cell death. Therapeutic hypothermia has become a standard strategy in specific unconscious adult patients with ROSC after out-of-hospital cardiac arrest (OHCA) as per American Heart Association (AHA) guidelines. Case Report: A 48-year-old South Asian male arrived to our emergency department with 20 minutes duration of OHCA with no basic life support (BLS) measures en route to hospital. His initial rhythm was ventricular fibrillation and he had ROSC after 13 minutes of cardiopulmonary resuscitation (CPR) and subsequently underwent therapeutic hypothermia for 24 hours and recovered completely without neurological impairment after eight days of incident. Conclusion: Therapeutic hypothermia in eligible cardiac arrest patients is an important component of the post-cardiac arrest care in the AHA chain of survival. The AHA chain of survival is a chain of five interdependent links for cardiac arrest and comprises early recognition, early CPR, early defibrillation, early advanced cardiac life support and post-cardiac arrest care. It has substantial benefits on patient outcome. The ease of administration and positive clinical outcome should encourage other medical professionals to avail this modality.
延伸閱讀
- Hsu, C. Y., Huang, C. H., Tsai, M. S., Chang, W. T., & Chen, W. J. (2011). Current Development and Clinical Usage of Therapeutic Hypothermia. 中華民國急救加護醫學會雜誌, 22(1), 1-18. https://doi.org/10.30018/JECCM.201103.0001
- Chen, W. T., Tsai, M. S., Huang, C. H., Chang, W. T., & Chen, W. J. (2022). Protocolized Post-Cardiac Arrest Care with Targeted Temperature Management. Acta Cardiologica Sinica, 38(3), 391-399. https://doi.org/10.6515/ACS.202205_38(3).20211220A
- 季銀樑（2022）。The hypothermia therapy for the cardiac arrest patients。鏡湖醫學，22(1)，92-93+15。https://www.airitilibrary.com/Article/Detail?DocID=P20230317001-N202303180013-00033
- Ko, P. Y., Wang, L. L., Chou, Y. J., Tsai, J. J. P., Huang, S. H., Chang, C. P., Shiao, Y. T., & Lin, J. J. (2019). Usefulness of Therapeutic Hypothermia to Improve Survival in Out-of-Hospital Cardiac Arrest. Acta Cardiologica Sinica, 35(4), 394-401. https://doi.org/10.6515/ACS.201907_35(4).20190113A
- 吳秀霞、李嘉羽、簡翠薇、鍾淑媛、陳美麗（2016）。Out-of-Hospital Cardiac Arrest Patient Using Therapeutic Hypothermia: An ICU Nursing Experience。長庚護理，27(2)，250-262。https://doi.org/10.3966/102673012016062702010