Surface cooling after cardiac arrest: effectiveness, skin safety, and adverse events in routine clinical practice.
BACKGROUND: Effectiveness of cooling and adverse events (AEs) involving skin have not been intensively evaluated in cardiac arrest survivors treated with therapeutic hypothermia (TH) when induced and maintained with a servomechanism-regulated surface cooling system. METHODS: Retrospective review of...
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ftmainehealth:oai:knowledgeconnection.mainehealth.org:mmc-3132 2023-05-15T15:00:01+02:00 Surface cooling after cardiac arrest: effectiveness, skin safety, and adverse events in routine clinical practice. Jarrah, Salam Dziodzio, John Lord, Christine Fraser, Gilles L Lucas, Lee Riker, Richard R Seder, David B 2011-06-01T07:00:00Z https://knowledgeconnection.mainehealth.org/mmc/2182 https://pubmed.ncbi.nlm.nih.gov/21249528/ unknown MaineHealth Knowledge Connection https://knowledgeconnection.mainehealth.org/mmc/2182 https://pubmed.ncbi.nlm.nih.gov/21249528/ Maine Medical Center Aged Body Mass Index Equipment Design Equipment Safety Female Heart Arrest Humans Hypothermia Induced Male Middle Aged Pressure Ulcer Retrospective Studies Risk Factors Skin Treatment Outcome Endocrinology Diabetes and Metabolism Patient Safety text 2011 ftmainehealth 2022-02-13T08:22:09Z BACKGROUND: Effectiveness of cooling and adverse events (AEs) involving skin have not been intensively evaluated in cardiac arrest survivors treated with therapeutic hypothermia (TH) when induced and maintained with a servomechanism-regulated surface cooling system. METHODS: Retrospective review of sixty-nine cardiac arrest survivor-events admitted from April 2006-September 2008 who underwent TH using the Medivance Arctic Sun Temperature Management System. A TH database and medical records were reviewed, and nursing interviews conducted. Primary endpoint was time from initiation to target temperature (TT; 32-34 °C). Secondary endpoints were cooling rate, percentage of hypothermia maintenance phase at TT, effect of body-mass index (BMI) on rate of cooling, and AEs. RESULTS: Mean time to the target temperature (TT) was 2.78 h; 80% of patients achieved TT within 4 h; all did within 8 h. Patients were at TT for 96.7% of hypothermia maintenance; 17% of patients had >1 hourly temperature measurement outside TT range. Mean cooling rate during induction phase was 1.1 °C/h, and was not associated with BMI. Minor skin injury occurred in 14 (20%) patients; 4 (6%) were device-related. Skin injuries were associated with shock (P = 0.04), and decubitus ulcers were associated with left ventricular ejection fraction CONCLUSIONS: The Arctic Sun Temperature Management System was an effective means of performing therapeutic hypothermia after cardiac arrest. Infrequent skin injuries were associated with vasopressor use and low ejection fraction. Text Arctic MaineHealth Knowledge Connection Arctic |
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Aged Body Mass Index Equipment Design Equipment Safety Female Heart Arrest Humans Hypothermia Induced Male Middle Aged Pressure Ulcer Retrospective Studies Risk Factors Skin Treatment Outcome Endocrinology Diabetes and Metabolism Patient Safety |
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Aged Body Mass Index Equipment Design Equipment Safety Female Heart Arrest Humans Hypothermia Induced Male Middle Aged Pressure Ulcer Retrospective Studies Risk Factors Skin Treatment Outcome Endocrinology Diabetes and Metabolism Patient Safety Jarrah, Salam Dziodzio, John Lord, Christine Fraser, Gilles L Lucas, Lee Riker, Richard R Seder, David B Surface cooling after cardiac arrest: effectiveness, skin safety, and adverse events in routine clinical practice. |
topic_facet |
Aged Body Mass Index Equipment Design Equipment Safety Female Heart Arrest Humans Hypothermia Induced Male Middle Aged Pressure Ulcer Retrospective Studies Risk Factors Skin Treatment Outcome Endocrinology Diabetes and Metabolism Patient Safety |
description |
BACKGROUND: Effectiveness of cooling and adverse events (AEs) involving skin have not been intensively evaluated in cardiac arrest survivors treated with therapeutic hypothermia (TH) when induced and maintained with a servomechanism-regulated surface cooling system. METHODS: Retrospective review of sixty-nine cardiac arrest survivor-events admitted from April 2006-September 2008 who underwent TH using the Medivance Arctic Sun Temperature Management System. A TH database and medical records were reviewed, and nursing interviews conducted. Primary endpoint was time from initiation to target temperature (TT; 32-34 °C). Secondary endpoints were cooling rate, percentage of hypothermia maintenance phase at TT, effect of body-mass index (BMI) on rate of cooling, and AEs. RESULTS: Mean time to the target temperature (TT) was 2.78 h; 80% of patients achieved TT within 4 h; all did within 8 h. Patients were at TT for 96.7% of hypothermia maintenance; 17% of patients had >1 hourly temperature measurement outside TT range. Mean cooling rate during induction phase was 1.1 °C/h, and was not associated with BMI. Minor skin injury occurred in 14 (20%) patients; 4 (6%) were device-related. Skin injuries were associated with shock (P = 0.04), and decubitus ulcers were associated with left ventricular ejection fraction CONCLUSIONS: The Arctic Sun Temperature Management System was an effective means of performing therapeutic hypothermia after cardiac arrest. Infrequent skin injuries were associated with vasopressor use and low ejection fraction. |
format |
Text |
author |
Jarrah, Salam Dziodzio, John Lord, Christine Fraser, Gilles L Lucas, Lee Riker, Richard R Seder, David B |
author_facet |
Jarrah, Salam Dziodzio, John Lord, Christine Fraser, Gilles L Lucas, Lee Riker, Richard R Seder, David B |
author_sort |
Jarrah, Salam |
title |
Surface cooling after cardiac arrest: effectiveness, skin safety, and adverse events in routine clinical practice. |
title_short |
Surface cooling after cardiac arrest: effectiveness, skin safety, and adverse events in routine clinical practice. |
title_full |
Surface cooling after cardiac arrest: effectiveness, skin safety, and adverse events in routine clinical practice. |
title_fullStr |
Surface cooling after cardiac arrest: effectiveness, skin safety, and adverse events in routine clinical practice. |
title_full_unstemmed |
Surface cooling after cardiac arrest: effectiveness, skin safety, and adverse events in routine clinical practice. |
title_sort |
surface cooling after cardiac arrest: effectiveness, skin safety, and adverse events in routine clinical practice. |
publisher |
MaineHealth Knowledge Connection |
publishDate |
2011 |
url |
https://knowledgeconnection.mainehealth.org/mmc/2182 https://pubmed.ncbi.nlm.nih.gov/21249528/ |
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Arctic |
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Arctic |
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Arctic |
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Arctic |
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Maine Medical Center |
op_relation |
https://knowledgeconnection.mainehealth.org/mmc/2182 https://pubmed.ncbi.nlm.nih.gov/21249528/ |
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1766332123061420032 |