Current cooling methods for induction of mild hypothermia in cardiac arrest survivors

Czech version

Authors: R. Škulec ^1,2; A. Truhlář ^3,4; P. Ošťádal ⁵; P. Telekes ⁶; J. Knor ⁸; M. Ticháček ⁷; V. Černý ⁴; J. Šeblová ⁸
Authors‘ workplace: Územní středisko záchranné služby Středočeského kraje Beroun, ředitel MU Dr. Martin Houdek ¹; Interní oddělení nemocnice Beroun, přednosta prim. doc. MU Dr. Karel Sochor, CSc. ²; Zdravotnická záchranná služba Královéhradeckého kraje, Hradec Králové, ředitel MU Dr. Ladislav Žabka, Ph. D. ³; Klinika anesteziologie, resuscitace a intenzivní medicíny Lékařské fakulty UK a FN Hradec Králové, přednosta prof. MU Dr. Vladimír Černý, Ph. D., FCCM ⁴; Kardiologické oddělení Nemocnice Na Homolce Praha, přednosta doc. MU Dr. Miloš Táborský, CSc., FESC, MBA ⁵; Kardiocentrum Krajské nemocnice Liberec, přednosta prim. MU Dr. Rostislav Polášek ⁶; Územní středisko záchranné služby Moravskoslezského kraje Opava, ředitel MU Dr. Milan Ticháček ⁷; Územní středisko záchranné služby Středočeského kraje Kladno, ředitel MU Dr. Martin Houdek ⁸
Published in: Vnitř Lék 2009; 55(11): 1060-1069
Category: Reviews

Overview

Induction of mild therapeutic hypothermia early after return of spontaneous circulation improves prognosis of cardiac arrest survivors. Rapid cooling of the patients and correct maintainance of the target therapeutic temperature followed by controlled slow rewarming can be achieved by several noninvasive and invasive methods of various efficacy. Elementary and the most frequently used methods are surface cooling via ice‑ packs and rapid intravenous administration of cold crystaloids. Mattress cooling systems and facilities for endovascular cathether‑ cooling are more sophisticated, manageable and ensure more precise titration of therapeutic temperature. Cooling caps and helmets leading to selective head cooling can be used as the complementary techniques. Several other methods are too instrumentation‑ intensive, too invasive or investigated in animal experiments only. Anyway, near future may bring a rapid development of new effective and safe cooling systems.

Key words:
cardiac arrest – mild hypothermia – cooling method

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