A Comparison of Cooling Techniques to Treat Cardiac Arrest Patients with Hypothermia
Introduction. We sought to compare the performance of endovascular cooling to conventional surface cooling after cardiac arrest. Methods. Patients in coma following cardiopulmonary resuscitation were cooled with an endovascular cooling catheter or with ice bags and cold-water-circulating cooling bla...
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2011-01-01
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| Series: | Stroke Research and Treatment |
| Online Access: | http://dx.doi.org/10.4061/2011/690506 |
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| author | Anna Finley Caulfield Shylaja Rachabattula Irina Eyngorn Scott A. Hamilton Rajalakshmi Kalimuthu Amie W. Hsia Maarten G. Lansberg Chitra Venkatasubramanian J. J. Baumann Marion S. Buckwalter Monisha A. Kumar James S. Castle Christine A. C. Wijman |
| author_facet | Anna Finley Caulfield Shylaja Rachabattula Irina Eyngorn Scott A. Hamilton Rajalakshmi Kalimuthu Amie W. Hsia Maarten G. Lansberg Chitra Venkatasubramanian J. J. Baumann Marion S. Buckwalter Monisha A. Kumar James S. Castle Christine A. C. Wijman |
| author_sort | Anna Finley Caulfield |
| collection | DOAJ |
| description | Introduction. We sought to compare the performance of endovascular cooling to conventional surface cooling after cardiac arrest. Methods. Patients in coma following cardiopulmonary resuscitation were cooled with an endovascular cooling catheter or with ice bags and cold-water-circulating cooling blankets to a target temperature of 32.0–34.0∘C for 24 hours. Performance of cooling techniques was compared by (1) number of hourly recordings in target temperature range, (2) time elapsed from the written order to initiate cooling and target temperature, and (3) adverse events during the first week. Results. Median time in target temperature range was 19 hours (interquartile range (IQR), 16–20) in the endovascular group versus. 10 hours (IQR, 7–15) in the surface group (P=.001). Median time to target temperature was 4 (IQR, 2.8–6.2) and 4.5 (IQR, 3–6.5) hours, respectively (P=.67). Adverse events were similar. Conclusion. Endovascular cooling maintains target temperatures better than conventional surface cooling. |
| format | Article |
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| institution | Kabale University |
| issn | 2042-0056 |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Stroke Research and Treatment |
| spelling | doaj-art-7b262247604e4f85a5c1ff5f890b5be92025-02-03T01:26:37ZengWileyStroke Research and Treatment2042-00562011-01-01201110.4061/2011/690506690506A Comparison of Cooling Techniques to Treat Cardiac Arrest Patients with HypothermiaAnna Finley Caulfield0Shylaja Rachabattula1Irina Eyngorn2Scott A. Hamilton3Rajalakshmi Kalimuthu4Amie W. Hsia5Maarten G. Lansberg6Chitra Venkatasubramanian7J. J. Baumann8Marion S. Buckwalter9Monisha A. Kumar10James S. Castle11Christine A. C. Wijman12Stanford Neurocritical Care Program, Stanford Stroke Center, Stanford University School of Medicine Center, Palo Alto, CA 94304, USAStanford Neurocritical Care Program, Stanford Stroke Center, Stanford University School of Medicine Center, Palo Alto, CA 94304, USAStanford Neurocritical Care Program, Stanford Stroke Center, Stanford University School of Medicine Center, Palo Alto, CA 94304, USAStanford Neurocritical Care Program, Stanford Stroke Center, Stanford University School of Medicine Center, Palo Alto, CA 94304, USAStanford Neurocritical Care Program, Stanford Stroke Center, Stanford University School of Medicine Center, Palo Alto, CA 94304, USAStroke Washington Hospital Center, Washington, DC 20010, USAStanford Neurocritical Care Program, Stanford Stroke Center, Stanford University School of Medicine Center, Palo Alto, CA 94304, USAStanford Neurocritical Care Program, Stanford Stroke Center, Stanford University School of Medicine Center, Palo Alto, CA 94304, USAStanford Neurocritical Care Program, Stanford Stroke Center, Stanford University School of Medicine Center, Palo Alto, CA 94304, USAStanford Neurocritical Care Program, Stanford Stroke Center, Stanford University School of Medicine Center, Palo Alto, CA 94304, USADepartment of Neurology, Hospital of the University of Pennsylvania, Philadelphia, PA 19104, USADepartment of Neurology, NorthShore University Health System, The University of Chicago, Evanston, IL 60201, USAStanford Neurocritical Care Program, Stanford Stroke Center, Stanford University School of Medicine Center, Palo Alto, CA 94304, USAIntroduction. We sought to compare the performance of endovascular cooling to conventional surface cooling after cardiac arrest. Methods. Patients in coma following cardiopulmonary resuscitation were cooled with an endovascular cooling catheter or with ice bags and cold-water-circulating cooling blankets to a target temperature of 32.0–34.0∘C for 24 hours. Performance of cooling techniques was compared by (1) number of hourly recordings in target temperature range, (2) time elapsed from the written order to initiate cooling and target temperature, and (3) adverse events during the first week. Results. Median time in target temperature range was 19 hours (interquartile range (IQR), 16–20) in the endovascular group versus. 10 hours (IQR, 7–15) in the surface group (P=.001). Median time to target temperature was 4 (IQR, 2.8–6.2) and 4.5 (IQR, 3–6.5) hours, respectively (P=.67). Adverse events were similar. Conclusion. Endovascular cooling maintains target temperatures better than conventional surface cooling.http://dx.doi.org/10.4061/2011/690506 |
| spellingShingle | Anna Finley Caulfield Shylaja Rachabattula Irina Eyngorn Scott A. Hamilton Rajalakshmi Kalimuthu Amie W. Hsia Maarten G. Lansberg Chitra Venkatasubramanian J. J. Baumann Marion S. Buckwalter Monisha A. Kumar James S. Castle Christine A. C. Wijman A Comparison of Cooling Techniques to Treat Cardiac Arrest Patients with Hypothermia Stroke Research and Treatment |
| title | A Comparison of Cooling Techniques to Treat Cardiac Arrest Patients with Hypothermia |
| title_full | A Comparison of Cooling Techniques to Treat Cardiac Arrest Patients with Hypothermia |
| title_fullStr | A Comparison of Cooling Techniques to Treat Cardiac Arrest Patients with Hypothermia |
| title_full_unstemmed | A Comparison of Cooling Techniques to Treat Cardiac Arrest Patients with Hypothermia |
| title_short | A Comparison of Cooling Techniques to Treat Cardiac Arrest Patients with Hypothermia |
| title_sort | comparison of cooling techniques to treat cardiac arrest patients with hypothermia |
| url | http://dx.doi.org/10.4061/2011/690506 |
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