| Author/Editor | Markota, Andrej; Fluher, Jure; Kit, Barbara; Balažič, Petra; Sinkovič, Andreja | |
| Title | The introduction of an esophageal heat transfer device into a therapeutic hypothermia protocol | |
| Type | članek | |
| Vol. and No. | Letnik 34, št. 4 | |
| Publication year | 2016 | |
| Volume | str. 741-745 | |
| ISSN | 0735-6757 - The American journal of emergency medicine | |
| Language | eng | |
| Abstract | Background. Temperature management is a recommended part of post-resuscitation care of comatose survivors of cardiac arrest. A number of methods exist for temperature management, all of which have limitations. We aimed to evaluate the performance and ease of use of a new esophageal heat transfer device (EHTD, Advanced Cooling Therapy, Chicago, Illinois, USA) for temperature management of adult survivors of cardiac arrest. Methods. We performed a prospective study from March to June 2015. Our standard protocol uses servo-controlled water blankets supplemented with ice-cold saline in order to attain goal temperature (32-34 ⁰C) within one hour. We substituted the EHTD for our usual water blankets, then recorded temperature over time and adverse effects. Main Findings. A total of 14 patients were treated, with mean age 65.1 +/- 13.7 years, and median weight 75.5 (70; 83) kg. Initial temperature was 35.3 +/- 1.2 ⁰C. Mean cooling rate during the induction phase was 1,12 +/- 0,62 ⁰C/h, time to target temperature was 60 (41; 195) min and the volume of iced fluids infused was 1607 +/- 858 ml (as compared with 2- 2.5 L historically). The percentage of time outside target temperature range during the maintenance phase was 6.5% (0.0; 29.0). Rewarming rate was 0.22 (0.18; 0.31) ⁰C/h. No major adverse effects were observed. Conclusion. Using the EHTD, our patient population attained goal temperatures in one hour, the volume of ice-cold saline required to attain this cooling rate was decreased by one third, and experienced a low percentage of time outside target temperature range and no major adverse effects. | |
| Keywords | hipotermija, terapevtska telesna temperatura, upravljanje srčni zastoj medicinske naprave zdravljenje |