Hipotermia terapéutica post-reanimación cardiopulmonar prolongada en paro cardiaco debido a tromboembolismo pulmonar. Reporte de caso
ABSTRACT: This is a report of a 41-year-old patient undergoing femur osteosynthesis (OS) who develops intraoperative cardiac arrest (CA) with pulseless electrical activity (PEA). Massive pulmonary thromboembolism (PTE) was diagnosed as the cause for the CA and a thrombolysis performed 30 min later r...
- Autores:
-
Alvarado Ramírez, Julián
Arroyave Paramo, Héctor Darío
Casas Arroyave, Fabián David
- Tipo de recurso:
- Article of journal
- Fecha de publicación:
- 2014
- Institución:
- Universidad de Antioquia
- Repositorio:
- Repositorio UdeA
- Idioma:
- eng
spa
- OAI Identifier:
- oai:bibliotecadigital.udea.edu.co:10495/33731
- Acceso en línea:
- https://hdl.handle.net/10495/33731
https://www.revcolanest.com.co/index.php/rca/article/view/252
- Palabra clave:
- Hypothermia
Hipotermia
Pulmonary Embolism
Embolia Pulmonar
Heart Arrest
Paro Cardíaco
Cardiopulmonary Resuscitation
Reanimación Cardiopulmonar
Anesthesia
Anestesia
- Rights
- openAccess
- License
- http://creativecommons.org/licenses/by-nc-nd/2.5/co/
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Hipotermia terapéutica post-reanimación cardiopulmonar prolongada en paro cardiaco debido a tromboembolismo pulmonar. Reporte de caso |
| dc.title.translated.spa.fl_str_mv |
Therapeutic Hypothermia after Prolonged Cardiopulmonary Resuscitation Due to Pulmonary Thromboembolism. Case Report |
| title |
Hipotermia terapéutica post-reanimación cardiopulmonar prolongada en paro cardiaco debido a tromboembolismo pulmonar. Reporte de caso |
| spellingShingle |
Hipotermia terapéutica post-reanimación cardiopulmonar prolongada en paro cardiaco debido a tromboembolismo pulmonar. Reporte de caso Hypothermia Hipotermia Pulmonary Embolism Embolia Pulmonar Heart Arrest Paro Cardíaco Cardiopulmonary Resuscitation Reanimación Cardiopulmonar Anesthesia Anestesia |
| title_short |
Hipotermia terapéutica post-reanimación cardiopulmonar prolongada en paro cardiaco debido a tromboembolismo pulmonar. Reporte de caso |
| title_full |
Hipotermia terapéutica post-reanimación cardiopulmonar prolongada en paro cardiaco debido a tromboembolismo pulmonar. Reporte de caso |
| title_fullStr |
Hipotermia terapéutica post-reanimación cardiopulmonar prolongada en paro cardiaco debido a tromboembolismo pulmonar. Reporte de caso |
| title_full_unstemmed |
Hipotermia terapéutica post-reanimación cardiopulmonar prolongada en paro cardiaco debido a tromboembolismo pulmonar. Reporte de caso |
| title_sort |
Hipotermia terapéutica post-reanimación cardiopulmonar prolongada en paro cardiaco debido a tromboembolismo pulmonar. Reporte de caso |
| dc.creator.fl_str_mv |
Alvarado Ramírez, Julián Arroyave Paramo, Héctor Darío Casas Arroyave, Fabián David |
| dc.contributor.author.none.fl_str_mv |
Alvarado Ramírez, Julián Arroyave Paramo, Héctor Darío Casas Arroyave, Fabián David |
| dc.contributor.researchgroup.spa.fl_str_mv |
Grupo de Investigación en Medicina Perioperatoria (GRIMPA) |
| dc.subject.decs.none.fl_str_mv |
Hypothermia Hipotermia Pulmonary Embolism Embolia Pulmonar Heart Arrest Paro Cardíaco Cardiopulmonary Resuscitation Reanimación Cardiopulmonar Anesthesia Anestesia |
| topic |
Hypothermia Hipotermia Pulmonary Embolism Embolia Pulmonar Heart Arrest Paro Cardíaco Cardiopulmonary Resuscitation Reanimación Cardiopulmonar Anesthesia Anestesia |
| description |
ABSTRACT: This is a report of a 41-year-old patient undergoing femur osteosynthesis (OS) who develops intraoperative cardiac arrest (CA) with pulseless electrical activity (PEA). Massive pulmonary thromboembolism (PTE) was diagnosed as the cause for the CA and a thrombolysis performed 30 min later reestablished spontaneous circulation with no new CA events. Therapeutic hypothermia (TH) was then established with local measures for 18 h for brain protection. The patient was extubated 24 h later with no neurological deficit. There is an increasing evidence of TH and its protective mechanisms in patients with non-shockable arrest rhythms leading to a widespread use of the technique in various institutions around the world, with particular emphasis on neurological outcomes. This article discusses a review of the current literature on TH, in addition to describing each of the stages in TH and how to approach these stages. |
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2014 |
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2023-03-06T20:24:04Z |
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2023-03-06T20:24:04Z |
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Ramírez, Julian Alvarado, Hector Dario Arroyave Paramo, and Fabian David Casas Arroyave. 2014. “Therapeutic Hypothermia After Prolonged Cardiopulmonary Resuscitation Due to Pulmonary Thromboembolism. Case Report”. Colombian Journal of Anesthesiology 42 (4):317-20. https://www.revcolanest.com.co/index.php/rca/article/view/252. |
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0120-3347 2422-0248 |
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https://hdl.handle.net/10495/33731 |
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https://www.revcolanest.com.co/index.php/rca/article/view/252 |
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Ramírez, Julian Alvarado, Hector Dario Arroyave Paramo, and Fabian David Casas Arroyave. 2014. “Therapeutic Hypothermia After Prolonged Cardiopulmonary Resuscitation Due to Pulmonary Thromboembolism. Case Report”. Colombian Journal of Anesthesiology 42 (4):317-20. https://www.revcolanest.com.co/index.php/rca/article/view/252. 0120-3347 2422-0248 |
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Rev. Colomb. Anestesiol. |
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320 |
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4 |
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Alvarado Ramírez, JuliánArroyave Paramo, Héctor DaríoCasas Arroyave, Fabián DavidGrupo de Investigación en Medicina Perioperatoria (GRIMPA)2023-03-06T20:24:04Z2023-03-06T20:24:04Z2014Ramírez, Julian Alvarado, Hector Dario Arroyave Paramo, and Fabian David Casas Arroyave. 2014. “Therapeutic Hypothermia After Prolonged Cardiopulmonary Resuscitation Due to Pulmonary Thromboembolism. Case Report”. Colombian Journal of Anesthesiology 42 (4):317-20. https://www.revcolanest.com.co/index.php/rca/article/view/252.0120-33472422-0248https://hdl.handle.net/10495/33731https://www.revcolanest.com.co/index.php/rca/article/view/252ABSTRACT: This is a report of a 41-year-old patient undergoing femur osteosynthesis (OS) who develops intraoperative cardiac arrest (CA) with pulseless electrical activity (PEA). Massive pulmonary thromboembolism (PTE) was diagnosed as the cause for the CA and a thrombolysis performed 30 min later reestablished spontaneous circulation with no new CA events. Therapeutic hypothermia (TH) was then established with local measures for 18 h for brain protection. The patient was extubated 24 h later with no neurological deficit. There is an increasing evidence of TH and its protective mechanisms in patients with non-shockable arrest rhythms leading to a widespread use of the technique in various institutions around the world, with particular emphasis on neurological outcomes. This article discusses a review of the current literature on TH, in addition to describing each of the stages in TH and how to approach these stages.RESUMEN: Se reporta un caso de un paciente de 41 a ̃nos quien es llevado a osteosíntesis (OS) de fémur y que presenta paro cardiaco (PC) intraoperatorio con ritmo de actividad eléctrica sin pulso.Se diagnostica tromboembolismo pulmonar masivo como causa del PC y 30 min después se hace trombólisis, obteniéndose circulación espontánea sin nuevos episodios de PC. Posteriormente se instaura hipotermia terapéutica (HT) con medidas locales durante 18 h para protección cerebral. El paciente es extubado 24 h después sin ningún déficit neurológico. Es importante entender que la evidencia actual de la HT en pacientes con ritmos de paro no desfibrilables y sus mecanismos de protección es creciente, y que cada vez más se está implementando esta técnica en los diferentes centros del mundo, sobre todo haciendo énfasis en desenlaces neurológicos. En este artículo se hace una revisión de la literatura actualsobre HT, además de describir cada una de las etapas de la HT y la forma en que se deben abordarCOL00943144application/pdfengspaSociedad Colombiana de Anestesiología y ReanimaciónBogotá, Colombiahttp://creativecommons.org/licenses/by-nc-nd/2.5/co/https://creativecommons.org/licenses/by-nc-sa/4.0/info:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2Hipotermia terapéutica post-reanimación cardiopulmonar prolongada en paro cardiaco debido a tromboembolismo pulmonar. Reporte de casoTherapeutic Hypothermia after Prolonged Cardiopulmonary Resuscitation Due to Pulmonary Thromboembolism. Case ReportReporte de casohttp://purl.org/coar/resource_type/c_6501http://purl.org/coar/resource_type/c_2df8fbb1https://purl.org/redcol/resource_type/ARTCASOhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionHypothermiaHipotermiaPulmonary EmbolismEmbolia PulmonarHeart ArrestParo CardíacoCardiopulmonary ResuscitationReanimación CardiopulmonarAnesthesiaAnestesiaRev. Colomb. Anestesiol.320431742Revista Colombiana de AnestesiologíaPublicationORIGINALAlvaradoJulian_2014_HipotermiaReanimacionTromboembolismo.pdfAlvaradoJulian_2014_HipotermiaReanimacionTromboembolismo.pdfReporte de casoapplication/pdf467937https://bibliotecadigital.udea.edu.co/bitstreams/f97cb270-2259-4c02-8827-e60d0d5814e9/download7ad806be4c2ccb1ebff1f2910dd26808MD51trueAnonymousREADAlvaradoJulian_2014_HypotermiaResuscitationThromboembolism.pdfAlvaradoJulian_2014_HypotermiaResuscitationThromboembolism.pdfReporte de casoapplication/pdf453315https://bibliotecadigital.udea.edu.co/bitstreams/880057d2-add6-4ef6-870c-6cd6c31fd871/downloada20972e9cffc4109cb3df1b07193bb64MD52falseAnonymousREADCC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; charset=utf-8823https://bibliotecadigital.udea.edu.co/bitstreams/150eb3ab-f68e-4eb8-9ee1-7ecd7249055e/downloadb88b088d9957e670ce3b3fbe2eedbc13MD53falseAnonymousREADLICENSElicense.txtlicense.txttext/plain; charset=utf-81748https://bibliotecadigital.udea.edu.co/bitstreams/9a09b1ec-ba42-47a3-b6c6-7eb6d22b1bbd/download8a4605be74aa9ea9d79846c1fba20a33MD54falseAnonymousREADTEXTAlvaradoJulian_2014_HipotermiaReanimacionTromboembolismo.pdf.txtAlvaradoJulian_2014_HipotermiaReanimacionTromboembolismo.pdf.txtExtracted texttext/plain15958https://bibliotecadigital.udea.edu.co/bitstreams/1e569381-689a-42ff-be30-cdb380cdda34/download46190e4df2683e2a62b26bc78f20db29MD55falseAnonymousREADAlvaradoJulian_2014_HypotermiaResuscitationThromboembolism.pdf.txtAlvaradoJulian_2014_HypotermiaResuscitationThromboembolism.pdf.txtExtracted texttext/plain15348https://bibliotecadigital.udea.edu.co/bitstreams/cf5a5c76-7b3a-42bb-8691-715a8e0520cf/downloadef4dcab6b0861d1bc23b5da3fc306aa6MD57falseAnonymousREADTHUMBNAILAlvaradoJulian_2014_HipotermiaReanimacionTromboembolismo.pdf.jpgAlvaradoJulian_2014_HipotermiaReanimacionTromboembolismo.pdf.jpgGenerated Thumbnailimage/jpeg13594https://bibliotecadigital.udea.edu.co/bitstreams/02da2199-f119-4a85-9af8-c85040e9d6bb/downloade9cb5143323b67024a957c07e164ff10MD56falseAnonymousREADAlvaradoJulian_2014_HypotermiaResuscitationThromboembolism.pdf.jpgAlvaradoJulian_2014_HypotermiaResuscitationThromboembolism.pdf.jpgGenerated Thumbnailimage/jpeg13757https://bibliotecadigital.udea.edu.co/bitstreams/07a5373f-2f37-4dda-9143-94e3273eed1a/downloaddaf17d1dc50418dfae5b6b6d0ef4bdc2MD58falseAnonymousREAD10495/33731oai:bibliotecadigital.udea.edu.co:10495/337312025-03-27 00:18:51.815http://creativecommons.org/licenses/by-nc-nd/2.5/co/open.accesshttps://bibliotecadigital.udea.edu.coRepositorio Institucional de la Universidad de Antioquiaaplicacionbibliotecadigitalbiblioteca@udea.edu.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 |