{"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\/utitemp\/","title":{"rendered":"Indications and Contraindications for Targeted Temperature Management in Comatose Patients after Cardiac Arrest"},"content":{"rendered":"<div class=\"99c380e4b4a7b96c35d7ddf7dcb434e8\" 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>Targeted temperature management should be implemented\u00a0in the context of a broader strategy of\u00a0critical care for a comatose patient with the post-cardiac arrest syndrome.<\/div>\n<p><!--more--><\/p>\n<\/div>\n<div><\/div>\n<div><strong>Indications and Contraindications for Targeted Temperature Management in Comatose Patients after Cardiac Arrest.<\/strong><\/div>\n<div><\/div>\n<div><strong>Patients for whom therapeutic hypothermia should be considered<\/strong><\/div>\n<div>\n<ul>\n<li>Adult patients successfully resuscitated from a witnessed out-of-hospital\u00a0cardiac arrest of presumed cardiac cause (patients after in-hospital cardiac arrest may also benefit)<\/li>\n<li>Patients who are comatose (i.e., patients with a score on the Glasgow Coma\u00a0Scale of less than 8 or patients who do not obey any verbal command at\u00a0any time after restoration of spontaneous circulation and before initiation\u00a0of cooling)<\/li>\n<li>Patients with an initial rhythm of ventricular fibrillation or nonperfusing ventricular\u00a0tachycardia (patients presenting with other initial rhythms such\u00a0as asystole or pulseless electrical activity may also benefit)<\/li>\n<li>Patients whose condition is hemodynamically stable (retrospective data suggest\u00a0that patients in cardiogenic shock may also safely undergo hypothermia\u00a0treatment)<\/li>\n<\/ul>\n<\/div>\n<div><strong>Patients for whom therapeutic hypothermia should not be considered<\/strong><\/div>\n<div>\n<ul>\n<li>Patients with tympanic-membrane temperature below 30 \u00b0C on admission<\/li>\n<li>Patients who were comatose before the cardiac arrest<\/li>\n<li>Pregnant patients<\/li>\n<li>Patients who are terminally ill or for whom intensive care does not seem\u00a0to be appropriate<\/li>\n<li>Patients with inherited blood coagulation disorders<\/li>\n<\/ul>\n<\/div>\n<div><\/div>\n<div><\/div>\n<div><strong>References:<\/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>Created: Sep 28, 2010<\/div>\n<p><\/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>Sorry, this entry is only available in Espa\u00f1ol.<\/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"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2444","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/comments?post=2444"}],"version-history":[{"count":3,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2444\/revisions"}],"predecessor-version":[{"id":9348,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2444\/revisions\/9348"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/media?parent=2444"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/categories?post=2444"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/tags?post=2444"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}