DocumentCode :
2881286
Title :
Computer controlled induced hypothermia in victims of out-of-hospital cardiac arrest
Author :
Leor-Librach, R.J. ; Gmach-Fluk, S. ; Jasmawie, I. ; Nachliely, V. ; Ezra, O.
Author_Institution :
Sanz Med. Center, Laniado Hosp., Netanya, Israel
fYear :
2003
fDate :
21-24 Sept. 2003
Firstpage :
233
Lastpage :
234
Abstract :
Out-of-hospital cardiac arrest is a condition with high mortality and devastating morbidity. Until most recently there was no specific therapy apart from strict monitoring and supportive care. Results from animal studies and a few recent clinical trials suggest a beneficial effect of induced mild hypothermia on the neurologic outcome. We treated 22 successive patients with 24 hours of induced hypothermia to 34.5°C and compared their outcome to our last 16 patients who were hospitalized before we started the project. Patients were connected to a microprocessor-based heat pump that supplied warmed or cooled water to the ThermoWrap™ garment worn by the patient. The cooling system we used lowered patients´ temperature to a mean of 34.5 ± 0.7°C at a mean time of 6.2 ± 2.5 hours. 59% of the hypothermia patients were discharged conscious as compared to 25% of the patients who were treated conservatively p<0.03. The mortality rate was 29% in the hypothermia group and 37% in the conservative care group P=NS. We conclude that the computerized cooling system we used, adequately lowered and stabilized our patients´ temperature on the desired target level. Induced mild hypothermia is beneficial in victims of out-of-hospital cardiac arrest. The issue of controlled cooling of patients is complex and should be further investigated.
Keywords :
biocontrol; cardiology; hyperthermia; medical computing; microcomputer applications; 24 hour; 34.5 degC; ThermoWrap garment; computer controlled induced hypothermia; computerized cooling system; cooled water; microprocessor-based heat pump; out-of-hospital cardiac arrest; warmed water; Animals; Cardiac arrest; Clinical trials; Computerized monitoring; Cooling; Heat pumps; Medical treatment; Patient monitoring; Temperature; Water heating;
fLanguage :
English
Publisher :
ieee
Conference_Titel :
Computers in Cardiology, 2003
ISSN :
0276-6547
Print_ISBN :
0-7803-8170-X
Type :
conf
DOI :
10.1109/CIC.2003.1291133
Filename :
1291133
Link To Document :
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