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Therapeutic Hypothermia After Cardiac Arrest

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Pediatric and Congenital Cardiology, Cardiac Surgery and Intensive Care

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Abstract

Therapeutic hypothermia after cardiac arrest, in adults and neonates, has been associated with improved survival and neurologic outcome. This approach has its roots in induced hypothermia for cardiopulmonary bypass, though historically, the temperatures targeted during bypass are much lower than in therapeutic hypothermia. Techniques used in therapeutic mild hypothermia range from whole-body cooling to selective head cooling. Overall, this appears to be a relatively low risk and well-tolerated endeavor. Evidence would also support that a slow and methodical rewarming phase is at least as important as the cooling phase. To date there have been no prospective studies in pediatric patients that agree with the benefit of mild hypothermia, as has been seen in adults and neonates. A large, prospective, and multicenter pediatric study is currently in progress.

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Authors and Affiliations

  1. Critical Care, Children’s Hospital Colorado and University of Colorado at Denver, School of Medicine, 13123 East 16th Avenue, Aurora, CO, USA

    Emily L. Dobyns

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  1. Emily L. Dobyns
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Correspondence to Emily L. Dobyns .

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Editors and Affiliations

  1. Dept. of Pediatric Cardiology, Children's Hospital Colorado, Univ. of Colorado, Denver, Aurora, Colorado, USA

    Eduardo M. Da Cruz

  2. Dept. Pediatric Cardiology, Children's Hospital Colorado, Univ. of Colorado, Denver, Aurora, Colorado, USA

    Dunbar Ivy

  3. Pediatric Cardiac Surgery, Children's Hospital Colorado, Univ. of Colorado, Denver, Aurora, Colorado, USA

    James Jaggers

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Dobyns, E.L. (2014). Therapeutic Hypothermia After Cardiac Arrest. In: Da Cruz, E., Ivy, D., Jaggers, J. (eds) Pediatric and Congenital Cardiology, Cardiac Surgery and Intensive Care. Springer, London. https://doi.org/10.1007/978-1-4471-4619-3_168

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  • DOI: https://doi.org/10.1007/978-1-4471-4619-3_168

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