Rôle de l’équipe paramédicale dans la réalisation du contrôle ciblé de la température après un arrêt cardiaque récupéré |
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Authors: | A Fargeot R Guedmani A Marrec L Modestin C Picard and l’équipe paramédicale du service de réanimation médicale et toxicologique de l’hôpital Lariboisière |
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Institution: | Service de réanimation médicale et toxicologique, hôpital Lariboisière, 2, rue Ambroise-Paré, 75010 Paris, France |
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Abstract: | Therapeutic hypothermia, also called targeted temperature management, is increasingly used in the intensive care unit (ICU), based on its assessed neuroprotective effects against ischemia-reperfusion-induced brain damage. Targeted temperature management is indicated in comatose adult patients after cardiac arrest if successfully resuscitated from a witnessed out-of-hospital cardiac arrest of presumed cardiac cause with an initial rhythm of ventricular fibrillation or non-perfusing ventricular tachycardia and in a stable hemodynamic condition. Patients after in-hospital cardiac arrest or with other initial rhythms may also benefit. When indicated, therapeutic hypothermia should be quickly performed and tightly controlled. Both surface and core cooling methods target a body temperature of 32 to 34 °C. Thus, it is mandatory to know how to simply manage the routinely available techniques in order to perform hypopthermia as soon as possible, being aware of all side-effects that may alter the expected benefits. Therefore, implementing hypothermia in the ICU involve the whole medical and paramedical staff. |
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Keywords: | Mots clé s: Hypothermie thé rapeutique Arrê t cardiaque Effets secondaires Neuroprotection Syndrome d&rsquo isché mie-reperfusion Anoxie cé ré brale Ré chauffement |
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