Román Fernández A, López Álvarez A, Barreiro Canosa J L, Varela García O, Fossati Puertas S, Pereira Tamayo J Á
Servicio de Anestesiología, Reanimación y Tratamiento del Dolor, Hospital Meixoeiro de Vigo, Complejo Hospitalario Universitario de Vigo, Vigo, Pontevedra, España.
Servicio de Anestesiología, Reanimación y Tratamiento del Dolor, Hospital Meixoeiro de Vigo, Complejo Hospitalario Universitario de Vigo, Vigo, Pontevedra, España.
Rev Esp Anestesiol Reanim. 2014 Aug-Sep;61(7):396-400. doi: 10.1016/j.redar.2013.06.008. Epub 2013 Sep 12.
Therapeutic hypothermia is an effective treatment for neurological protection after out-of-hospital cardiac arrest, and may also be beneficial for in-hospital cardiac arrest. Its use is limited in post-surgical patients due to the risk of specific complications, particularly bleeding. There are significant differences among previous publications regarding the time to reach the target temperature and the duration of therapy, so the optimal strategy is not yet established. We present the case of a patient who suffered a perioperative cardiac arrest related to a pericardial tamponade, and who underwent therapeutic hypothermia for 48h.
治疗性低温是院外心脏骤停后神经保护的有效治疗方法，对院内心脏骤停可能也有益处。由于存在特定并发症的风险，尤其是出血风险，其在术后患者中的应用受到限制。以往关于达到目标温度的时间和治疗持续时间的文献存在显著差异，因此尚未确立最佳策略。我们报告了一例因心包填塞发生围手术期心脏骤停并接受了48小时治疗性低温的患者。
