Postarrest Targeted Temperature Management Immediately Following Craniotomy-A Case Report

被引:4
作者
Delfin, Gail [1 ]
Leary, Marion [1 ]
Perman, Sarah M. [1 ]
O'Rourke, Donald M. [2 ]
Levine, Joshua M. [2 ,3 ,4 ]
Abella, Benjamin S. [1 ,5 ]
机构
[1] Univ Penn, Ctr Resuscitat Sci, Philadelphia, PA 19104 USA
[2] Univ Penn, Dept Neurosurg, Philadelphia, PA 19104 USA
[3] Univ Penn, Dept Neurol, Philadelphia, PA 19104 USA
[4] Univ Penn, Dept Anesthesiol & Crit Care, Philadelphia, PA 19104 USA
[5] Univ Penn, Sect Pulm Allergy & Crit Care, Philadelphia, PA 19104 USA
关键词
HOSPITAL CARDIAC-ARREST; THERAPEUTIC HYPOTHERMIA; COMATOSE SURVIVORS; CLINICAL-PRACTICE; TRAUMA;
D O I
10.1089/ther.2013.0012
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Therapeutic hypothermia or targeted temperature management (TTM) has been shown to improve survival and neurological outcome after cardiac arrest. TTM is not frequently utilized in the postoperative setting because of the concern for exacerbation of bleeding. We present the case of a 65-year-old man who had a cardiac arrest during craniotomy for a brain tumor resection. He was successfully resuscitated from pulseless electrical activity and remained unresponsive. After assessment for postoperative brain hemorrhage, the neurocritical care team initiated TTM. Repeat imaging revealed no additional bleeding. The patient was discharged with a cerebral performance category of 1 to an acute rehabilitation center 11 days following his cardiac arrest. This case highlights the need for further consideration of TTM in the postoperative cardiac arrest population.
引用
收藏
页码:143 / 146
页数:4
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