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体温调节在心脏复苏中的作用。

The role of thermoregulation in cardiac resuscitation.

作者信息

Lasater Marie

机构信息

Neurosurgery Intensive Care Unit, Barnes Jewish Hospital, One Barnes-Jewish Plaza, St. Louis, MO 63110, USA.

出版信息

Crit Care Nurs Clin North Am. 2005 Mar;17(1):97-102, xii. doi: 10.1016/j.ccell.2004.09.011.

DOI:10.1016/j.ccell.2004.09.011
PMID:15749407
Abstract

Regulating a patient's body temperature has long been within the scope of practice of the critical care nurse. Different measures and modalities have been used to achieve normothermia in the past. Recent research has demonstrated how crucial body temperature can be, not only because of its potential for neuroprotection but also because of its effects on all body systems. The general consensus of current literature is that maintaining mild hypothermia at 32 degrees to 34 degrees C (89.6 degrees-93.2 degrees F) for 12 to 24 hours after cardiac arrest may provide optimal neuroprotection with minimal complications for patients.

摘要

调节患者体温长期以来一直是重症护理护士的执业范围。过去已采用不同的措施和方式来实现体温正常。最近的研究表明了体温的关键程度,这不仅是因为其具有神经保护潜力,还因为其对所有身体系统的影响。当前文献的普遍共识是,心脏骤停后将体温维持在32摄氏度至34摄氏度(89.6华氏度至93.2华氏度)的轻度低温状态12至24小时,可能为患者提供最佳的神经保护且并发症最少。

相似文献

1
The role of thermoregulation in cardiac resuscitation.体温调节在心脏复苏中的作用。
Crit Care Nurs Clin North Am. 2005 Mar;17(1):97-102, xii. doi: 10.1016/j.ccell.2004.09.011.
2
Clinically induced hypothermia: why chill your patient?临床诱导低温:为何要让患者体温降低?
AACN Adv Crit Care. 2006 Apr-Jun;17(2):125-32.
3
[Induction of hypothermia after a cardiac arrest].[心脏骤停后低温的诱导]
Soins. 2009 Jun(736 Suppl):S7-10.
4
Therapeutic hypothermia for cardiac arrest survivors.
J Emerg Nurs. 2008 Aug;34(4):320-3. doi: 10.1016/j.jen.2007.06.026. Epub 2008 Jan 30.
5
[Induced mild hypothermia to limit neurological damage after resuscitation].[诱导轻度低温以限制复苏后神经损伤]
Ned Tijdschr Geneeskd. 2008 Feb 9;152(6):314-8.
6
Hypothermia after cardiac arrest: expanding the therapeutic scope.心脏骤停后的低温治疗:扩大治疗范围
Crit Care Med. 2009 Jul;37(7 Suppl):S227-33. doi: 10.1097/CCM.0b013e3181aa5d0c.
7
Bringing research to the bedside: the role of induced hypothermia in cardiac arrest.将研究应用于临床:亚低温在心脏骤停中的作用。
Crit Care Nurs Q. 2007 Apr-Jun;30(2):143-53. doi: 10.1097/01.CNQ.0000264257.75252.41.
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[Neuroprotection following cardiac arrest and early post-resuscitation care].心脏骤停及复苏后早期护理后的神经保护
Vnitr Lek. 2009 Nov;55(11):1011-3.
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Development and implementation of a therapeutic hypothermia protocol.治疗性低温方案的制定与实施。
Crit Care Med. 2009 Jul;37(7 Suppl):S279-84. doi: 10.1097/CCM.0b013e3181aa61c5.
10
[Induced mild hypothermia to limit neurological damage after resuscitation].[诱导轻度低温以限制复苏后神经损伤]
Ned Tijdschr Geneeskd. 2008 Apr 26;152(17):1025-6; author reply 1026.

引用本文的文献

1
Observation of the effect of hypothermia therapy combined with optimized nursing on brain protection after cardiopulmonary resuscitation: A retrospective case-control study.观察低温治疗联合优化护理对心肺复苏后脑保护的效果:一项回顾性病例对照研究。
Medicine (Baltimore). 2024 Apr 19;103(16):e37776. doi: 10.1097/MD.0000000000037776.