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Medicina crítica (Colegio Mexicano de Medicina Crítica)
versão impressa ISSN 2448-8909
Resumo
SOLIS AGUAYO, Diana Alejandra; MEZA MARQUEZ, José Martín; PENA PEREZ, Carlos Alberto e CARRILLO ESPER, Raúl. Therapeutic hypothermia. Experience in a Third Level Hospital. Med. crít. (Col. Mex. Med. Crít.) [online]. 2018, vol.32, n.5, pp.273-276. Epub 30-Jun-2020. ISSN 2448-8909.
Objective:
To present the experience related to controlled therapeutic hypothermia in severe patients who presented acute neurological injury.
Material and methods:
Clinical, retrospective, observational and descriptive study in the Department of Critical Care of Adults of a Hospital of Third Level in a period between January 1, 2016 and July 31, 2017. Patients taken to therapeutic hypothermia.
Results:
Five patients included in the study, with a mean age of 52.4 years, 80% with neurocritical conditions. The average stay in the ICU was 15.2 days, and hospitalization was 63 days. The mean number of days of mechanical ventilation was 13.8 days. Sixty percent of patients developed ventilator-associated pneumonia. Forty percent of the patients had a severe disability.
Conclusions:
Therapeutic hypothermia in the study group did not positively impact neurological outcomes. The most frequent complication was ventilator-associated pneumonia.
Palavras-chave : Therapeutic hypothermia; induced hypothermia; neuroprotection; cooling techniques; post-cardiac arrest syndrome; cerebral edema.
