降温难题:治疗性低温对免疫抑制患者安全吗?

IF 0.8 4区医学 Q4 CRITICAL CARE MEDICINE

Therapeutic hypothermia and temperature management Pub Date : 2023-03-01 DOI:10.1089/ther.2022.0035

Aida Roman, Erika Faircloth, Antonio B Fernandez

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引用次数: 0

摘要

靶向温度管理(TTM)可能增加感染风险，尽管缺乏强有力的证据，但免疫抑制被认为是一种相对禁忌症。我们报告一个44岁的免疫抑制女性，她在院外心脏骤停，接受了TTM，并恢复了神经功能，没有严重的并发症。本病例的目的是导航具有挑战性的决策过程中，关于心脏骤停后护理的患者免疫抑制剂。

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A Cooling Conundrum: Is Therapeutic Hypothermia Safe in the Immunosuppressed?

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.

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来源期刊

Therapeutic hypothermia and temperature management CRITICAL CARE MEDICINE-

CiteScore

2.50

自引率

8.30%

发文量

期刊介绍： Therapeutic Hypothermia and Temperature Management is the first and only journal to cover all aspects of hypothermia and temperature considerations relevant to this exciting field, including its application in cardiac arrest, spinal cord and traumatic brain injury, stroke, burns, and much more. The Journal provides a strong multidisciplinary forum to ensure that research advances are well disseminated, and that therapeutic hypothermia is well understood and used effectively to enhance patient outcomes. Novel findings from translational preclinical investigations as well as clinical studies and trials are featured in original articles, state-of-the-art review articles, protocols and best practices. Therapeutic Hypothermia and Temperature Management coverage includes: Temperature mechanisms and cooling strategies Protocols, risk factors, and drug interventions Intraoperative considerations Post-resuscitation cooling ICU management.