University of Pittsburgh Medical Center Presbyterian Shadyside Hospital, PA, USA.
Am J Nurs. 2012 Jul;112(7):38-44; quiz 46,45. doi: 10.1097/01.NAJ.0000415959.85050.1a.
Irreversible brain damage and death are common outcomes after cardiac arrest, even when resuscitation is initially successful. Chances for both survival and a good neurologic outcome are improved when mild hypothermia is induced shortly after reperfusion. Unfortunately, this treatment is often omitted from advanced cardiac life support protocols. The authors discuss the efficacy of therapeutic hypothermia, indications and contraindications for its use, various induction methods, associated complications and adverse effects, and nursing care specific to patients undergoing this procedure.
心脏骤停后，即使最初的复苏成功，也常常会导致不可逆转的脑损伤和死亡。在再灌注后不久诱导轻度低温可提高生存和良好神经结局的机会。不幸的是，这种治疗方法经常在高级心脏生命支持方案中被忽略。作者讨论了治疗性低温的疗效、使用的适应证和禁忌证、各种诱导方法、相关并发症和不良反应，以及接受该程序的患者的特定护理。
