Mild hypothermia for temporary brain ischemia during cardiopulmonary support systems: report of three cases.
Recovery without residual neurological damage after cardiac arrest with temporary cerebral ischemia is rare. Therefore, it is most important that every effort is made to prevent brain damage occurring immediately after successful cardiopulmonary resuscitation. We report herein the cases of three patients who suffered either cardiogenic or hypovolemic shock and were resuscitated by a cardiopulmonary support system followed by mild hypothermia. All three patients recovered completely without any neurologic damage. The outcomes of these three patients demonstrated that mild hypothermia may be important for cerebral preservation after cardiopulmonary resuscitation.
Department of Surgery, Kobe University School of Medicine, Japan.
C
C
Yamashita
K
K
Nakagiri
T
T
Yamashita
H
H
Matsuda
H
H
Wakiyama
M
M
Yoshida
K
K
Ataka
M
M
Okada
D000368:Aged; D002545:Brain Ischemia / Q000209:etiology / Q000628:therapy*; D016887:Cardiopulmonary Resuscitation / Q000379:methods*; D005260:Female; D006323:Heart Arrest / Q000150:complications; D006801:Humans; D007036:Hypothermia, Induced; D008297:Male; D008875:Middle Aged; D012770:Shock, Cardiogenic / Q000150:complications* / Q000628:therapy