Therapeutic Hypothermia Following Emergent Coronary Artery Bypass Grafting After Failed Percutaneous Coronary Intervention in a Comatose Post-Cardiac Arrest Patient

被引：1

作者：

Choi, Seung Pill ^{[1
]}

Wee, Jung Hee ^{[1
]}

Park, Jeong Ho ^{[1
]}

Park, Kyu Nam ^{[1
]}

Hong, Sung Jin ^{[2
]}

Lee, Sun Hee ^{[3
]}

机构：

[1] Catholic Univ Korea, Dept Emergency Med, Seoul, South Korea

[2] Catholic Univ Korea, Dept Anesthesiol & Pain Med, Seoul, South Korea

[3] Catholic Univ Korea, Coll Med, Dept Thorac & Cardiovasc Surg, Seoul, South Korea

来源：

JOURNAL OF KOREAN MEDICAL SCIENCE | 2013年 / 28卷 / 08期

关键词：

Hypothermia; Cardiac Arrest; Coronary Artery Bypass Grafting; CARDIOPULMONARY BYPASS; RANDOMIZED-TRIAL; MILD HYPOTHERMIA; SURGERY; RESUSCITATION; CARE; ASSOCIATION;

D O I：

10.3346/jkms.2013.28.8.1257

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

We report the case of 60-yr-old female in which therapeutic hypothermia (TH) was successfully induced maintaining the target temperature of 34 degrees C for 12 hr despite a risk of hypothermia-induced coagulation abnormalities following an emergent coronary artery bypass grafting (CABG) due to failed percutaneous coronary intervention, who suffered a cardiac arrest. Emergent CABG may be a relative contraindication for TH in post-cardiac arrest patients because hypothermia may increase the risk of infection and bleeding. However, the possibility of an improved neurologic outcome outweighs the risk of bleeding, although major surgery may be a relative contraindication for TH.

引用

收藏

页码：1257 / 1259

页数：3

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