亞低溫技術(shù)在心肺復(fù)蘇中的應(yīng)用陸一鳴(1)-文庫吧
2025-01-03 16:25 本頁面
【正文】 ? 使用冰袋冷卻 /小時 ? 結(jié)果 : 低體溫 正常體溫 ? 好結(jié)果 49% 26% p= ? 死亡率 51% 68% P=NS Preliminary evidence in patients with asystole/PEA… Polderman KH et al. Induced hypothermia improves neurological oute in asystolic patients with outof hospital cardiac arrest. Circulation 2022。 108: IV581 [abstract 2646] 歐洲 HART Study ICY 在心臟驟停的多中心試驗 ? 心搏停跳后， ICY 導(dǎo)管亞低溫治療。 ? 前瞻性的，多中心研究 ? 對心搏停搏患者使用 ICY導(dǎo)管進(jìn)行可行性和安全性評估 ? 多中心參加 : Henry Ford, Duke, University of Houston ? 歐洲復(fù)蘇理事會資助 30 多個中心參加，包括 500名患者，結(jié)果在 2022年 9月阿姆斯特丹會議上公布。 ? 歐洲 HACA 調(diào)查者將使用 CoolGard 3000和 Icy 導(dǎo)管作為金標(biāo)準(zhǔn)降溫療法。 Before and after parison in 665 outof hospital cardiac arrest in the Stavanger area (population 300 000) 20222022 Before and after parison in 665 outof hospital cardiac arrest in the Stavanger area (population 300 000) 20222022 Cooling Procedure introduce the cooling device (Icy and CoolGard 3000。 Alsius Corp) foleycatheter 24 h target temperature at 33℃ rewarmed ℃ /h 36~37 ℃ Icycatheter Start up Kit All patients in the database from August 1991 to November 2022 were screened. For oute evaluation all patients who were cooled with endovascular cooling during this period were evaluated. For evaluation of cooling rate we restricted the analysis to patients who received endovascular cooling exclusively. Bladder temperature course. Median, 25th and 75th quartile of bladder temperature after return of spontaneous circulation in patients, who were exclusively cooled with the endovascular cooling device (n=56). Target temperature, 33176。 C。 cooling duration, 24 hours. 95 min 177。 ℃ 253 min 33 ℃ 24 hr 388 min 36 ℃ ℃ /hour Adverse Event Endovascular Cooling (n=62) Control (n=104) P Within the first 32 h Atrial fibrillation, n (%) 2 (3) 2 (3) Ventricular tachycardia, n (%) 14 (23) 9 (14) Ventricular fibrillation, n (%) 6 (10) 6 (10) Narrow plex tachycardia, n (%) 0 3 (5) Bradycardia, n (%) 9 (15) 2 (3) Any Bleeding, n (%) 16 (26) 27 (26) Within the first 7 d
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