{"id":2444,"date":"2010-09-28T22:03:21","date_gmt":"2010-09-28T22:03:21","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/utitemp\/"},"modified":"2025-05-14T19:08:29","modified_gmt":"2025-05-14T19:08:29","slug":"utitemp","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/utitemp\/","title":{"rendered":"Indicaciones y Contraindicaciones para el Control de la Temperatura en Pacientes Comatosos Despu\u00e9s de un Paro Cardiaco\u00a0"},"content":{"rendered":"<div class=\"7ca9444b8380138fe077da07353677a4\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p><\/p>\n<div><\/div>\n<div>\n<div>\n<div>El control selectivo de la temperatura debe implementarse en el contexto de una estrategia integral de los cuidados intensivos para un paciente en estado comatoso con el s\u00edndrome post-paro card\u00edaco.<\/div>\n<div><!--more--><\/div>\n<div><\/div>\n<div><strong>Indicaciones y Contraindicaciones para el Control de la Temperatura en Pacientes Comatosos Despu\u00e9s de un Paro Cardiaco\u00a0<\/strong><\/div>\n<div><\/div>\n<div><strong>Pacientes en los que el tratamiento de la hipotermia se debe considerar<\/strong><\/div>\n<div>\n<ul>\n<li>Pacientes adultos resucitados con \u00e9xito\u00a0de un paro card\u00edaco\u00a0fuera del hospital de causa\u00a0cardiaca\u00a0presunta (los pacientes despu\u00e9s de un paro cardiaco dentro del hospital tambi\u00e9n se pueden beneficiar)<\/li>\n<li>Pacientes que est\u00e1n en estado de coma (es decir, pacientes con\u00a0una puntuaci\u00f3n en la\u00a0escala de coma de Glasgow\u00a0menor de 8 o pacientes que no obedecen a ninguna orden verbal en cualquier momento despu\u00e9s de la restauraci\u00f3n de la circulaci\u00f3n espont\u00e1nea y antes de iniciar el enfriamiento)<\/li>\n<li>Pacientes con un ritmo inicial de fibrilaci\u00f3n ventricular o taquicardia ventricular con pobre perfusi\u00f3n (pacientes que se presentan con otros ritmos iniciales, como asistolia o actividad el\u00e9ctrica sin pulso tambi\u00e9n pueden beneficiarse)<\/li>\n<li>Pacientes cuya condici\u00f3n es hemodin\u00e1micamente estable (datos retrospectivos sugieren que los pacientes en shock cardiog\u00e9nico tambi\u00e9n pueden someterse a un tratamiento de hipotermia con seguridad)<\/li>\n<\/ul>\n<\/div>\n<div><strong>Pacientes en los que la hipotermia terap\u00e9utica no debe ser considerada<\/strong><\/div>\n<div>\n<ul>\n<li>Pacientes con temperatura de la membrana timp\u00e1nica por debajo de 30 \u00b0C en la admisi\u00f3n<\/li>\n<li>Pacientes en estado de coma antes del paro card\u00edaco<\/li>\n<li>Pacientes embarazadas<\/li>\n<li>Pacientes con enfermedades terminales o para quienes los cuidados intensivos no parece ser adecuado<\/li>\n<li>Pacientes con trastornos hereditarios de la coagulaci\u00f3n sangu\u00ednea<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<div><\/div>\n<div><\/div>\n<div><strong>Bibliograf\u00eda:<\/strong><\/div>\n<div>\n<ol>\n<li>Holzer M. Targeted temperature management for comatose survivors of cardiac arrest. N Engl J Med. 2010 Sep 23;363(13):1256-64.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/20860507\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Arrich J; European Resuscitation Council Hypothermia After Cardiac Arrest Registry Study Group. Clinical application of mild therapeutic hypothermia after cardiac arrest. Crit Care Med. 2007 Apr;35(4):1041-7.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/17334257\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<\/ol>\n<\/div>\n<div><\/div>\n<div><span class=\"Apple-style-span\">Creado: Sep 28, 2010\u00a0<\/span><\/div>\n<\/div>\n<p>&nbsp;<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>El control selectivo de la temperatura debe implementarse en el contexto de una estrategia integral de los cuidados intensivos para un paciente en estado comatoso con el s\u00edndrome post-paro card\u00edaco.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[148],"tags":[1287,1182,1179,1183,1286,1285,1284,1005,1004,74,73,259,260,1283,973,1282,1281,1288],"class_list":["post-2444","post","type-post","status-publish","format-standard","hentry","category-critical-care","tag-apro","tag-arrest","tag-cardiac","tag-cardiaco","tag-coma","tag-comatose","tag-comatoso","tag-contraindicaciones","tag-contraindications","tag-indicaciones","tag-indications","tag-management","tag-manejo","tag-paciente","tag-patients","tag-targeted","tag-temperatura","tag-temperature"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.1 - 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