Therapeutic hypothermia and temperature management最新文献

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Diagnostic Significance of Combined Calcitoninogen, Platelet, and D-Dimer Assay in Severe Heatstroke: with Clinical Data Analysis of 70 Patients with Severe Heatstroke. 降钙素原、血小板、d -二聚体联合检测对重度中暑的诊断意义:附70例重度中暑患者临床资料分析
IF 1.2 4区 医学
Therapeutic hypothermia and temperature management Pub Date : 2023-03-01 DOI: 10.1089/ther.2022.0011
Lei Wang, Hanyu Jia, Yiming Shen, Xin Chu, Zhenghua Chen, Yuqin Ren, Yi Zhang
{"title":"Diagnostic Significance of Combined Calcitoninogen, Platelet, and D-Dimer Assay in Severe Heatstroke: with Clinical Data Analysis of 70 Patients with Severe Heatstroke.","authors":"Lei Wang,&nbsp;Hanyu Jia,&nbsp;Yiming Shen,&nbsp;Xin Chu,&nbsp;Zhenghua Chen,&nbsp;Yuqin Ren,&nbsp;Yi Zhang","doi":"10.1089/ther.2022.0011","DOIUrl":"https://doi.org/10.1089/ther.2022.0011","url":null,"abstract":"<p><p>The significance of calcitoninogen detection among inpatients was discussed by analyzing the clinical characteristics of severe heatstroke (HS). HS patients who were admitted to the Second Hospital of Nantong University, Jiangsu Province, China, between July 1, 2015, and October 30, 2020, were reviewed. Patients' clinical characteristics and laboratory data were recorded, and they were divided into three groups, that is, a control group (heat cramps and heat exhaustion), an exertional HS (EHS) group, and a classical HS (CHS) group to compare the differences among them. Receiver operating characteristic (ROC) curves were plotted to evaluate patients' clinical utility. (1) The body temperatures in the EHS and CHS groups were significantly higher than in the control group (all <i>p</i> < 0.05). (2) The D-dimer (DD), procalcitonin (PCT), and Acute Physiology and Chronic Health Evaluation (APACHE) II score of the EHS group were significantly higher compared with the control and CHS groups (all <i>p</i> < 0.05); the platelets (PLT), C-reactive protein (CRP), blood sodium (Na), and intravenous glucose (GLU) of the EHS group were lower than in the control and CHS groups (all <i>p</i> < 0.05). (3) The ROC curve analysis showed the performance results for DD (area under the curve [AUC] 0.670, 95% confidence interval [CI] 0.547-0.777), PCT (AUC 0.705, 95% CI 0.584-0.808), and PLT (AUC 0.791, 95% CI 0.677-0.879). The sensitivity was 40.48%, 100%, and 73.81%, and the specificity was 96.43%, 32.14%, and 78.57%, respectively. Using three combined analyses, an elevated AUC of 0.838, 95% CI 0.731-0.916, with a sensitivity of 71.43% and a specificity of 85.71%, respectively, was revealed. Patients in the EHS group had higher DD, PCT, and APACHE II values, whereas PLT, CRP, Na, and GLU were reduced. The apparent decrease in the PLT, as well as the increase in PCT and DD values, could be considered as early sensitivity indicators of severe HS. A combined test of these three indicators presented significant diagnostic value for detecting severe cases of HS.</p>","PeriodicalId":22972,"journal":{"name":"Therapeutic hypothermia and temperature management","volume":"13 1","pages":"29-37"},"PeriodicalIF":1.2,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10818689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association Between Procalcitonin Level at 72 Hours After Cardiac Arrest and Neurological Outcomes in Cardiac Arrest Survivors. 心脏骤停后72小时降钙素原水平与心脏骤停幸存者神经系统预后的关系
IF 1.2 4区 医学
Therapeutic hypothermia and temperature management Pub Date : 2023-03-01 DOI: 10.1089/ther.2022.0019
Ji Ho Lee, Dong Hun Lee, Byung Kook Lee, Dong Ki Kim, Seok Jin Ryu
{"title":"Association Between Procalcitonin Level at 72 Hours After Cardiac Arrest and Neurological Outcomes in Cardiac Arrest Survivors.","authors":"Ji Ho Lee,&nbsp;Dong Hun Lee,&nbsp;Byung Kook Lee,&nbsp;Dong Ki Kim,&nbsp;Seok Jin Ryu","doi":"10.1089/ther.2022.0019","DOIUrl":"https://doi.org/10.1089/ther.2022.0019","url":null,"abstract":"<p><p>The association between procalcitonin (PCT) level measured 72 hours after cardiac arrest (CA) and neurological outcomes is unknown. We aimed to examine the association of serial PCT levels up to 72 hours with neurological outcomes in patients who underwent targeted temperature management (TTM) after CA. This retrospective observational study included adult comatose patients with CA undergoing TTM (33℃ for 24 hours) at the Chonnam National University Hospital in Gwangju, Korea, between January 2018 and December 2020. PCT levels were measured at admission and at 24, 48, and 72 hours after CA. The presence of early-onset infections (within 7 days after CA) was confirmed by reviewing clinical, radiological, and microbiological data. The primary outcome was poor neurological outcomes at 6 months and was defined by cerebral performance category 3-5. Among the CA survivors, 118 were included and 67 (56.8%) had poor neurological outcomes. The PCT level at 72 hours in the poor outcome group (3.01 [0.88-12.71]) was higher than that in good outcome group (0.56 [0.18-1.32]). The multivariate analysis revealed that the PCT level at 72 hours (adjusted odds ratio 1.241; 95% confidence interval, 1.059-1.455) was independently associated with poor neurological outcomes, showed good performance for poor outcomes (area under the receiver operating characteristic curve of 0.823), and was not associated with early-onset infections. The PCT level at 72 hours after CA can be helpful in predicting prognosis, and it did not correlate with early-onset infections in the study.</p>","PeriodicalId":22972,"journal":{"name":"Therapeutic hypothermia and temperature management","volume":"13 1","pages":"23-28"},"PeriodicalIF":1.2,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9374833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
The Association Between Induction Rate and Neurologic Outcome in Patients Undergoing Targeted Temperature Management at 33°C. 在33°C进行目标温度管理的患者中,诱导率与神经预后之间的关系。
IF 1.2 4区 医学
Therapeutic hypothermia and temperature management Pub Date : 2023-03-01 DOI: 10.1089/ther.2022.0008
Dong Hun Lee, Byung Kook Lee, Yong Soo Cho, Kyung Woon Jeung, Yong Hun Jung, Seok Jin Ryu, Dong Ki Kim
{"title":"The Association Between Induction Rate and Neurologic Outcome in Patients Undergoing Targeted Temperature Management at 33°C.","authors":"Dong Hun Lee,&nbsp;Byung Kook Lee,&nbsp;Yong Soo Cho,&nbsp;Kyung Woon Jeung,&nbsp;Yong Hun Jung,&nbsp;Seok Jin Ryu,&nbsp;Dong Ki Kim","doi":"10.1089/ther.2022.0008","DOIUrl":"https://doi.org/10.1089/ther.2022.0008","url":null,"abstract":"<p><p>To determine the association between the induction rate and 6-month neurologic outcomes in out-of-hospital cardiac arrest (OHCA) survivors who underwent targeted temperature management (TTM). This retrospective observational study analyzed data prospectively collected from adult comatose OHCA survivors treated with TTM at the Chonnam National University Hospital in Gwangju, Korea, between October 2015 and December 2020. We measured the core body temperature (BT) through an esophageal probe and recorded it every 5 minutes throughout TTM. Induction time was defined as the elapsed time between the initiation of TTM and the achievement of target BT of 33°C. We calculated the induction rate as the change of BT divided by induction time. The primary outcome was a poor 6-month neurologic outcome, defined as cerebral performance category 3-5. Of the OHCA survivors, 218 patients were included, and 137 (62.8%) patients had a poor neurologic outcome. Patients with a poor neurologic outcome had lower BT at the initiation of TTM, shorter induction time, and higher induction rate than those with good neurologic outcomes. After adjusting for confounders, induction time (odds ratio [OR] 0.995; 95% confidence interval [CI], 0.992-0.999) and induction rate (OR 2.362; 95% CI, 1.178-4.734) were independently associated with poor neurologic outcome. BT at TTM initiation was not associated with a poor neurologic outcome. Induction rate was independently associated with a poor neurologic outcome in OHCA survivors who underwent TTM at 33°C.</p>","PeriodicalId":22972,"journal":{"name":"Therapeutic hypothermia and temperature management","volume":"13 1","pages":"16-22"},"PeriodicalIF":1.2,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10818201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Acknowledgment of Reviewers 2022. 审稿人致谢2022。
IF 1.2 4区 医学
Therapeutic hypothermia and temperature management Pub Date : 2023-03-01 DOI: 10.1089/ther.2022.29097.ack
{"title":"Acknowledgment of Reviewers 2022.","authors":"","doi":"10.1089/ther.2022.29097.ack","DOIUrl":"https://doi.org/10.1089/ther.2022.29097.ack","url":null,"abstract":"","PeriodicalId":22972,"journal":{"name":"Therapeutic hypothermia and temperature management","volume":"13 1","pages":"44"},"PeriodicalIF":1.2,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10873555","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Water Rewarming After Seawater Hypothermia Mitigates IL-1β in Both Intestinal Tissue and Blood. 海水低温后复温水降低肠道组织和血液中IL-1β的含量。
IF 1.2 4区 医学
Therapeutic hypothermia and temperature management Pub Date : 2023-03-01 DOI: 10.1089/ther.2021.0033
Dandan Li, Wei Ma, Ming Xiong, Peng Xie, Youxin Feng, Dongdong Liu, Yuanyuan Qiao, Chenghe Shi
{"title":"Water Rewarming After Seawater Hypothermia Mitigates IL-1β in Both Intestinal Tissue and Blood.","authors":"Dandan Li,&nbsp;Wei Ma,&nbsp;Ming Xiong,&nbsp;Peng Xie,&nbsp;Youxin Feng,&nbsp;Dongdong Liu,&nbsp;Yuanyuan Qiao,&nbsp;Chenghe Shi","doi":"10.1089/ther.2021.0033","DOIUrl":"https://doi.org/10.1089/ther.2021.0033","url":null,"abstract":"<p><p>In this study, the rat models of severe hypothermia induced by seawater immersion were established in artificial seawater immersion at 15°C for 5 hours. With the rewarming measurement of 37°C water bath, the rewarming effects were evaluated by monitoring basic vital signs and dynamically detecting intestinal inflammation cytokines. Fifty Sprague-Dawley rats were randomly divided into five groups including the control group (group C), hypothermia group (group H), 2-hour rewarming group (group R2), 6-hour rewarming group (group R6), and 12-hour rewarming group (group R12), with 10 in each group. The basic vital signs of rats (i.e., core temperature, respiration, heart rate, and muscle tremor) were constantly recorded. The inflammatory factors were detected in the intestinal tissue via a protein chip GSR-CAA-67 of Innopsys, and the verification by reverse transcription-quantitative polymerase chain reaction. The levels of cytokines (interleukin IL-1β, IL-6, and IL-10) were detected from blood samples collected at the end of the observation period via enzyme-linked immunosorbent assay. The expression landscape of IL-1β in the intestinal tissue was validated by immunohistochemistry. Five hours of immersion in artificial seawater at 15°C successfully induced severe hypothermia of rats. After 2 hours of constant water bath rewarming at 37°C, the basic vital signs recovered to the normal level and maintained stably as well as the acute inflammatory reaction alleviated effectively, which indicated that 37°C of water immersion rewarming had the potential to be a suitable method for early treatment of water immersion hypothermia. After the process of hypothermia, several inflammatory cytokines of rats in rewarming groups changed distinctly with IL-1β, showing the most significant variations compared with group C, which confirmed IL-1β as a potential monitoring biomarker referring to the therapeutic effect of rewarming for severe hypothermia caused by seawater immersion.</p>","PeriodicalId":22972,"journal":{"name":"Therapeutic hypothermia and temperature management","volume":"13 1","pages":"1-10"},"PeriodicalIF":1.2,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10829534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Cooling Conundrum: Is Therapeutic Hypothermia Safe in the Immunosuppressed? 降温难题:治疗性低温对免疫抑制患者安全吗?
IF 1.2 4区 医学
Therapeutic hypothermia and temperature management Pub Date : 2023-03-01 DOI: 10.1089/ther.2022.0035
Aida Roman, Erika Faircloth, Antonio B Fernandez
{"title":"A Cooling Conundrum: Is Therapeutic Hypothermia Safe in the Immunosuppressed?","authors":"Aida Roman,&nbsp;Erika Faircloth,&nbsp;Antonio B Fernandez","doi":"10.1089/ther.2022.0035","DOIUrl":"https://doi.org/10.1089/ther.2022.0035","url":null,"abstract":"<p><p>Targeted temperature management (TTM) may increase the risk of infection, and immunosuppression is considered a relative contraindication despite the lack of robust evidence for this risk. We present a case of a 44-year-old immunosuppressed woman who suffered an out-of-hospital cardiac arrest, underwent TTM, and recovered neurological function without serious complications. The aim of this case is to navigate the challenging decision-making process regarding postcardiac arrest care in a patient on immunosuppressants.</p>","PeriodicalId":22972,"journal":{"name":"Therapeutic hypothermia and temperature management","volume":"13 1","pages":"38-41"},"PeriodicalIF":1.2,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9081097","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Thyroid Function in Neonates with Hypoxic Ischemic Encephalopathy. 新生儿缺氧缺血性脑病的甲状腺功能。
IF 1.2 4区 医学
Therapeutic hypothermia and temperature management Pub Date : 2023-03-01 DOI: 10.1089/ther.2022.0001
Aybuke Yazici, Gulsum Kadioglu Simsek, Serhan Elbayiyev, Fuat Emre Canpolat, Hayriye Gozde Kanmaz Kutman
{"title":"Thyroid Function in Neonates with Hypoxic Ischemic Encephalopathy.","authors":"Aybuke Yazici,&nbsp;Gulsum Kadioglu Simsek,&nbsp;Serhan Elbayiyev,&nbsp;Fuat Emre Canpolat,&nbsp;Hayriye Gozde Kanmaz Kutman","doi":"10.1089/ther.2022.0001","DOIUrl":"https://doi.org/10.1089/ther.2022.0001","url":null,"abstract":"<p><p>We aimed to examine heel prick (capillary) and serum thyroid function test (TFT) results in neonates with hypoxic ischemic encephalopathy (HIE) to evaluate the effect of asphyxia and therapeutic hypothermia (TH) on thyroid functions. This retrospective chart review included infants who were born after 34 weeks of gestation, were diagnosed and treated for HIE. The patients were divided into those who did and did not undergo TH and the groups were compared in terms of demographic characteristics, laboratory results, capillary thyroid-stimulating hormone (cTSH) levels, and serum thyroid-stimulating hormone (TSH) and free thyroxine (fT4) levels. A total of 111 neonates were included in the study. There was no difference between the TH group (<i>n</i> = 90) and the nonhypothermia group (<i>n</i> = 21) in terms of median gestational age (38.3 ± 2.1 weeks vs. 38.6 ± 1.8 weeks, <i>p</i> = 0.42) or birth weight (3182 ± 509 g vs. 3174 ± 573 g, <i>p</i> = 0.72). Serum TFT was performed at a median of 10 days (range, 2-43) and capillary TSH analyzed at a median of 6 days (range, 1-26). Capillary TSH at 96 hours was analyzed in 36 patients in the TH group and 19 patients in the nonhypothermia group. Serum TSH and fT4 levels were similar in both groups (<i>p</i> = 0.29, <i>p</i> = 0.1). Overall cTSH and cTSH obtained in the first 4 days were 2.2 (0.5-10) and 4.3 (0.5-94), <i>p</i> = 0.059; 2 (0.5-22) and 5 (0.5-94), <i>p</i> = 0.04, respectively, whereas cTSH obtained after day 4 was similar in both groups (<i>p</i> = 0.058). Abnormal serum TSH (>5.5 mU/mL) was more frequent in the hypothermia group (44.4% vs. 19%, <i>p</i> = 0.026). Our results suggest that TH may cause some alterations on TFTs. Therefore, it may be reasonable to repeat TSH screening after TH.</p>","PeriodicalId":22972,"journal":{"name":"Therapeutic hypothermia and temperature management","volume":"13 1","pages":"11-15"},"PeriodicalIF":1.2,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10826013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Bovine Lactoferrin Alleviates Pulmonary Lipid Peroxidation and Inflammatory Damage in Heat Stroke Rats. 牛乳铁蛋白减轻中暑大鼠肺脂质过氧化和炎症损伤。
IF 1.2 4区 医学
Therapeutic hypothermia and temperature management Pub Date : 2022-11-01 DOI: 10.1089/ther.2022.0002
Xinyu Xia, Chenjie Zhang, Lei Li, Shaokang Wang, Xian Ding, Jian He, Shuogui Xu, Meitang Wang
{"title":"Bovine Lactoferrin Alleviates Pulmonary Lipid Peroxidation and Inflammatory Damage in Heat Stroke Rats.","authors":"Xinyu Xia,&nbsp;Chenjie Zhang,&nbsp;Lei Li,&nbsp;Shaokang Wang,&nbsp;Xian Ding,&nbsp;Jian He,&nbsp;Shuogui Xu,&nbsp;Meitang Wang","doi":"10.1089/ther.2022.0002","DOIUrl":"https://doi.org/10.1089/ther.2022.0002","url":null,"abstract":"<p><p>Lung injury occurring in the early stage of heat stroke (HS) leads to hypoxia and further aggravation of other organic damage. Lactoferrin (LF) is an iron binding protein with anti-inflammatory and antioxidant effects. This study focuses on the protection of preadministration of bovine lactoferrin (BLF) against lung injury in rats with HS. Sixty-four Sprague-Dawley male rats were divided into four groups randomly: control (CON)+phosphate-buffered saline (PBS) (<i>n</i> = 16), HS+PBS (<i>n</i> = 16), HS+low-dose BLF (LBLF) (<i>n</i> = 16), and HS+high-dose BLF (HBLF) (<i>n</i> = 16). CON+PBS and HS+PBS were preadministered 10 mL/kg PBS for 1 week. HS+LBLF and HS+HBLF were preadministered 100 and 200 mg/kg BLF for 1 week, respectively. The HS onset time and the survival rate were recorded, and bronchoalveolar lavage fluid was obtained to measure protein concentration. Lung was obtained for pathological analysis and wet/dry weight ratio measurement; later, the content of malondialdehyde (MDA), activity of myeloperoxidase (MPO), and superoxide dismutase (SOD) were measured in lung tissue homogenate. The results indicated that BLF preadministration could delay the HS onset time, enhance the survival rate, the levels of serum inflammatory cytokine and MDA content in HS+LBLF and HS+HBLF showed significant reduction compared with HS+PBS, while a significant elevation of SOD activity and reduction of MPO activity in HS+HBLF. Our results demonstrate that BLF preadministration could relieve lung injury in HS rats by enhancing thermal endurance, and alleviating serum inflammatory response and pulmonary oxidative stress damage.</p>","PeriodicalId":22972,"journal":{"name":"Therapeutic hypothermia and temperature management","volume":"12 4","pages":"223-228"},"PeriodicalIF":1.2,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10369730","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Cryotherapy in Anterior Cruciate Ligamentoplasty Pain: A Scoping Review. 前交叉韧带成形术疼痛的冷冻治疗:范围回顾。
IF 0.8 4区 医学
Therapeutic hypothermia and temperature management Pub Date : 2022-11-01 Epub Date: 2022-01-25 DOI: 10.1089/ther.2021.0032
Isabela Eising Mendes, Júlio Cesar Ribeiro Filho, Letícia Camille Lourini, Matheus Deitos Salvador, Alberito Rodrigo de Carvalho, Márcia Rosangela Buzanello, Gladson Ricardo Flor Bertolini
{"title":"Cryotherapy in Anterior Cruciate Ligamentoplasty Pain: A Scoping Review.","authors":"Isabela Eising Mendes, Júlio Cesar Ribeiro Filho, Letícia Camille Lourini, Matheus Deitos Salvador, Alberito Rodrigo de Carvalho, Márcia Rosangela Buzanello, Gladson Ricardo Flor Bertolini","doi":"10.1089/ther.2021.0032","DOIUrl":"10.1089/ther.2021.0032","url":null,"abstract":"<p><p>Cryotherapy is used in individuals in the postoperative period (PO) of anterior cruciate ligament (ACL) repair, owing to its effects such as increased pain threshold, decreased cellular activity, and vasoconstriction. The aim of this study was to analyze the effect of cryotherapy on pain intensity in the immediate PO of ACL reconstruction. A scoping review was performed in the databases: Cochrane, Embase, Lilacs, LIVIVO, PEDro, PubMed, Scopus, and Web of Science; and gray literature: Google Scholar, CAPES Thesis Database, and Open Grey. PRISMA recommendation was followed. Two blinded reviewers performed the selection of studies: Phase 1-reading of titles and abstracts and Phase 2-Reading of the full texts and disagreements resolved in consensus. The references of 701 studies were identified, 603 from the main databases and 98 from the gray literature. After removal of duplicates, 387 studies were left for Phase 1-reading of titles and abstracts according to eligibility criteria and for Phase 2-28 studies for reading of full texts. Two studies were excluded: one randomized clinical trial and another sandwich study. Finally, 15 studies were included in this review. Cryotherapy is effective in reducing pain intensity because there were reductions in the scores of subjective pain scales in the immediate PO of ACL reconstruction. Cryocompression was shown to be superior to conventional cryotherapy.</p>","PeriodicalId":22972,"journal":{"name":"Therapeutic hypothermia and temperature management","volume":"12 4","pages":"183-190"},"PeriodicalIF":0.8,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10361795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparing Doppler Echocardiography and Thermodilution for Cardiac Output Measurements in a Contemporary Cohort of Comatose Cardiac Arrest Patients Undergoing Targeted Temperature Management. 比较多普勒超声心动图和热调节术在接受目标温度管理的昏迷心脏骤停患者中的心输出量测量。
IF 1.2 4区 医学
Therapeutic hypothermia and temperature management Pub Date : 2022-09-01 Epub Date: 2021-08-20 DOI: 10.1089/ther.2021.0008
Johannes Grand, Jesper Kjaergaard, Christian Hassager, Jacob Eifer Møller, John Bro-Jeppesen
{"title":"Comparing Doppler Echocardiography and Thermodilution for Cardiac Output Measurements in a Contemporary Cohort of Comatose Cardiac Arrest Patients Undergoing Targeted Temperature Management.","authors":"Johannes Grand,&nbsp;Jesper Kjaergaard,&nbsp;Christian Hassager,&nbsp;Jacob Eifer Møller,&nbsp;John Bro-Jeppesen","doi":"10.1089/ther.2021.0008","DOIUrl":"https://doi.org/10.1089/ther.2021.0008","url":null,"abstract":"<p><p>Measuring cardiac output is used to guide treatment during postresuscitation care. The aim of this study was to compare Doppler echocardiography (Doppler-CO) with thermodilution using pulmonary artery catheters (PAC-CO) for cardiac output estimation in a large cohort of comatose out-of-hospital cardiac arrest (OHCA) patients undergoing targeted temperature management (TTM). Single-center substudy of 141 patients included in the TTM trial randomly assigned to 33 or 36°C for 24 hours after OHCA. Per protocol, PAC-CO and Doppler-CO were measured simultaneously shortly after admission and again at 24 and 48 hours. Linear correlation was assessed between methods and positive predictive value (PPV) and negative predictive value (NPV) of Doppler to estimate low cardiac output (<3.5 L/min) was calculated. A total of 301 paired cardiac output measurements were available. Average cardiac output was 5.28 ± 1.94 L/min measured by thermodilution and 4.06 ± 1.49 L/min measured by Doppler with a mean bias of 1.22 L/min (limits of agreements -1.92 to 4.36 L/min). Correlation between methods was moderate (<i>R</i><sup>2</sup> = 0.36). Using PAC-CO as the gold standard, PPV of a low cardiac output measurement (<3.5 L/min) by Doppler was 33%. However, the NPV was 92%. Hypothermia at 33°C did not negatively affect the correlations of CO methods. In the lowest quartile of Doppler, 13% had elevated lactate (>2 mmol/L). In the lowest quartile of thermodilution, 36% had elevated lactate (>2 mmol/L). In ventilated OHCA patients, the two methods for estimating cardiac output correlated moderately and there was a consistent underestimation of Doppler-CO. Absolute cardiac output values from Doppler-CO should be interpreted with caution. However, Doppler can be used to exclude low cardiac output with high accuracy. TTM at 33°C did not negatively affect the correlation or bias of cardiac output measurements. ClinicalTrials.gov ID: NCT01020916.</p>","PeriodicalId":22972,"journal":{"name":"Therapeutic hypothermia and temperature management","volume":"12 3","pages":"159-167"},"PeriodicalIF":1.2,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39329502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
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