title: [Post-cardiac arrest syndrome after general anesthesia: role of therapeutic hypothermia and remifentanil].
abstract: Moderate therapeutic hypothermia is often used in aneurysm surgery and is therefore a technique anesthesiologists are familiar with. We report the case of a patient who had entered into a coma after cardiac arrest in the postanesthetic recovery unit during central venous catheterization; the patient required 35 minutes of advanced cardiopulmonary resuscitation before heart rhythm and tissue perfusion were restored. The protocol for treating post-cardiac arrest syndrome included therapeutic hypothermia, which was maintained for 12 hours. The patient was extubated after 2 days, with no neurologic deficit. Post-cardiac arrest syndrome is associated with multiple biochemical reactions which are attenuated by hypothermia. Currently available evidence does not allow definitive recommendations regarding the different techniques for inducing therapeutic hypothermia, the ideal temperature to maintain, the duration, or the rewarming process. Further studies are required.
authors.affiliation: Unidad de Reanimación y Cuidados Criticos, Hospital de Torrecárdenas de Almería, Madrid. stl967523977@wanadoo.es
authors.forename: M
authors.initials: M
authors.lastname: Cortiñas Sáenz
authors.forename: J J
authors.initials: JJ
authors.lastname: Jerez Lanero
authors.forename: M
authors.initials: M
authors.lastname: Aomar Millán
authors.forename: A
authors.initials: A
authors.lastname: Quirante Pizarro
authors.forename: A
authors.initials: A
authors.lastname: Prieto Cabrera
authors.forename: C
authors.initials: C
authors.lastname: Marcote Oliva
mesh_terms: D000368:Aged; D000768:Anesthesia, General; D018686:Anesthetics, Intravenous / Q000627:therapeutic use*; D003663:Decision Trees; D006323:Heart Arrest / Q000628:therapy*; D006801:Humans; D007036:Hypothermia, Induced; D008297:Male; D010880:Piperidines / Q000627:therapeutic use*; D000077208:Remifentanil; D013577:Syndrome
chemical_list: D018686:Anesthetics, Intravenous; D010880:Piperidines; D000077208:Remifentanil