首页> 外文期刊>Therapeutic hypothermia and temperature management >Our cardiologist states that post-cardiac arrest patients who undergo hypothermia do not need to be maintained at 37° (or normothermia) once we rewarm the patient to 37. He stated that doing so prolongs sedation and ventilator management. What is the acceptable upper threshold for normothermia? At what temperature should we treat the temperature (37.5 or 38 or 38.5)? What is the recent literature on maintaining normothermia at 37° post-cardiac arrest and deployment of hypothermia?
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Our cardiologist states that post-cardiac arrest patients who undergo hypothermia do not need to be maintained at 37° (or normothermia) once we rewarm the patient to 37. He stated that doing so prolongs sedation and ventilator management. What is the acceptable upper threshold for normothermia? At what temperature should we treat the temperature (37.5 or 38 or 38.5)? What is the recent literature on maintaining normothermia at 37° post-cardiac arrest and deployment of hypothermia?

机译:我们的心脏病专家指出,一旦我们将患者重新武装到37岁,接受低温治疗的心脏骤停后患者就无需保持在37°(或正常体温)。他说,这样做可以延长镇静和呼吸机管理的时间。正常体温的可接受上限是多少?我们应该在什么温度下处理温度(37.5或38或38.5)?最近有哪些关于在心搏停止后维持37°正常体温和低温部署的文献?

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摘要

There are several studies that describe the phenomenon known as "rebound hyperthermia." Rebound hypothermia is defined as core body temperature of 38.5 or greater within 24 hours of cessation of therapeutic hypothermia (Winters et al., 2013). One study reported that 74% of their patients experienced rebound hyperthermia (Pichon et al., 2013). Another study reported that 22% of their patients experienced rebound hyperthermia (Merchant et al, 2006). Cocchi et al. (2013) study retrospective analyzed 149 patients with greater than 50% experience fever in the first 24 hours after rewarming (Cocchi et al, 2013). It has been postulated that rebound hyperthermia etiology may be related to either a physiological response to the cooling process or the post-cardiac arrest development of systemic inflammatory response syndrome.
机译:有几项研究描述了这种现象,称为“反弹热疗”。反弹性体温过低被定义为治疗性体温过低停止后24小时内的核心体温为38.5或更高(Winters等,2013)。一项研究报告说,他们的患者中有74%经历了反弹热疗(Pichon等人,2013)。另一项研究报告说,他们的患者中有22%经历了反弹热疗(Merchant等,2006)。 Cocchi等。 (2013年)的一项研究回顾性分析了149名患者在变温后的最初24小时内发烧超过50%(Cocchi等,2013)。据推测,反弹性热疗的病因可能与对冷却过程的生理反应或全身性炎症反应综合征的心脏骤停发展有关。

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