medigraphic.com
ISSN 2395-8979 (Electronic)
CuidArte ”El Arte del Cuidado”

2022, Number 22

<< Back Next >>

CuidArte 2022; 11 (22)

Therapeutic hypothermia: for improving survival and neurological status in post cardiac arrest patient

Peraza NLA, Rosado ALM, Montañez PEI

Language: Spanish
References: 29
Page: 57-73
PDF size: 345.65 Kb.


ABSTRACT

Introduction. Cardiac arrest is a sudden event that triggers the death of the patient or irreversible functional consequences at the neurological level. Therapeutic hypothermia is an intervention which has been studied over the years as an adjuvant in the management of post arrest syndrome to favor and preserve the neurological status. Objective. The aim of this article is to gather evidence on therapeutic hypothermia intervention to improve survival and neurological preservation in post arrest patients. Methodology. Systematic review, through the DeCS and MeSH documentary language, by consulting the databases PUBMED, Epistemonikos, COCHRANE, ELSEVIER, Google Scholar; this study is based on the PRISMA guide. Discussion. Temperature management is a suggested practice as an intervention in post arrest syndrome. A recent clinical trial supports that therapeutic hypothermia has similar effects to non-application of it and emphasizes normal temperature management. Conclusion. According to the systematic review of the state of art, there is no conclusive evidence whether therapeutic hypothermia improves survival or neurological status in an optimal manner and if temperature control between 36-37°C is sufficient to avoid the effects related to the inflammatory response resulting from cardiac arrest.


REFERENCES

  1. AAmerican Heart Association [Internet]. Heart Attack and Sudden Cardiac Arrest Differences. Disponible en: https://bit.ly/3cfWihm

  2. American Heart Association [Internet]. Soporte vital cardiovascular avanzado. Edición en Español. Estados Unidos;2016. p. 15-23. Disponible en: https://bit.ly/3dYRYY2

  3. Polderman KH. Mechanisms of action, physiological effects, and complications of hypothermia. Crit Care Med[Internet] 2009; 37 (7-Suppl): S186-202. DOI: 10.1097/CCM.0b013e3181aa5241.

  4. Barroso A, Cruz M, Fernández V. Cuidados de enfermería en la hipotermia terapéutica tras parada cardiaca. Revistaportales médicos [Internet] 2016. Disponible en: https://bit.ly/30unuql

  5. Sundae K. Hipotermia terapéutica en la parada cardiaca. Rev Esp Cardiol. [Internet] 2013; 66 (5): 346–349. DOI: http://dx.doi.org/10.1016/j.recesp.2012.10.005

  6. Secretaría de Salud. Reanimación cardiopulmonar en adultos - Guía de Evidencias y Recomendaciones: Guía dePráctica Clínica. México, CENETEC; 2017. Disponible en: https://bit.ly/3rwEeHK

  7. Gutiérrez P, Hernández R. Utilidad y eficacia de la hipotermia inducida en la resucitación cardiopulmonar: revisiónbibliográfica. NUEVO HOSP [Internet] 2021; 17 (3): 18 – 30. Disponible en: https://bit.ly/3Ontbuc

  8. Hutton B, Catalá-López, F, Moher D. La extensión de la declaración PRISMA para revisiones sistemáticas queincorporan metaanálisis en red: PRISMA-NMA. Medicina crítica. [Internet] 2016; 147 (6): 262-266. DOI: https://doi.org/10.1016/j.medcli.2016.02.025

  9. DeCS - Descriptores en Ciencias de la Salud [Internet]. Bvsalud.org. Disponible en:https://bit.ly/3xA7HnR

  10. Scottish Intercollegiate Guidelines Network [Internet]. SIGN 50 A guideline developer’s handbook Edinburgh:Scottish Intercollegiate Guidelines Network; 2008. Disponible en: https://bit.ly/3841ZQo

  11. Ministro de Sanidad, servicios sociales e igualdad. Guía para elaboración de recomendaciones y criterios de usoadecuado de tecnologías sanitarias. Agencia de Evaluación de Tecnologías Sanitarias de Andalucía. Sevilla: España;2017. Disponible en: https://bit.ly/3Pb73Cr

  12. Fichas de Lectura Crítica [Internet]. Disponible en: https://bit.ly/3KRdARJ

  13. Solís DA, Meza JM, Peña CA, Carrillo R. Hipotermia terapéutica controlada. Experiencia en un Hospital de TercerNivel. Med. crít. (Col. Mex. Med. Crít.). [Internet] 2018; 32 (5): 273-276. Disponible en: https://bit.ly/30AjaWt

  14. Gasca-López G, Arellano-Ramírez A, Pinto-Almazán R, Galindo-Oseuera E, Durán-Santana L. Experiencia de lahipotermia terapéutica en una unidad de cuidados intensivos. Hosp Med Clin Manag. [Internet] 2018; 11: 178-85.Disponible en: https://bit.ly/3zTieLO

  15. Guillen-García G, Pérez-Saad H. Hipotermia como alternativa terapéutica. Revista 16 de Abril. [Internet] 2017; 56(264): 64-72. Disponible en: https://bit.ly/3JXSbEW

  16. Colbourne F, Grooms SY, Zukin RS, Buchan AM, Bennet MVL. Hypothermia rescues hippocampal CA1 neurons andattenuates down-regulation of the AMPA receptor GluR2 subunit after forebrain ischemia. PNAS. [Internet] 2003; 100(5): 2906-2910. DOI: https://doi.org/10.1073/pnas.2628027100

  17. Centelles E. Martínez S. Caso clínico. Plan de cuidados de enfermería en paciente sometido a hipotermia terapéuticaposparada cardiorrespiratoria. Enferm Cardiol. [Internet] 2019; 76 (29): 74-82. Disponible en: https://bit.ly/3NTIday

  18. Paradinas L. Conocimiento enfermero sobre hipotermia inducida tras parada cardiorrespiratoria: revisiónbibliográfica. Enfermería Intensiva. [Internet] 2012; 23 (1). DOI: 10.1016/j.enfi.2011.12.003

  19. Gao Y, Hui KL, WangYJ, Wu L, DuanML, Xu JG, Li DX. Efficacy of Mild Hypothermia for the Treatment of Patientswith Cardiac Arrest. Chin Med J [Internet] 2015; 128 (11): 1536-42. DOI: 10.4103/0366-6999.157691

  20. Yu T, Longhini F, RongrongWu, Yao W, Lu W, Jin. X. The role of the induction of mild hypothermia in adult patientoutcomes after cardiac arrest: Systematic review and meta-analysis of randomized controlled studies. J Int Med Res[Internet]. 2015; 43 (4): 471–482. DOI: 10.1177/0300060515576010.

  21. Arrich J, Holzer M, Havel C, Müllner M, Herkner H. Hypothermia for neuroprotection in adults after cardiopulmonaryresuscitation. Cochrane Database Syst Rev. [Internet] 2012; 12 (9): CD004128. DOI: https://doi.org/10.1002/14651858.cd004128.pub3

  22. Caballero A, Cárdenas H, González Y, González O, Garzón H, Reinoso W. Hipotermia terapéutica en el parocardiorrespiratorio recuperado. CorSalud. [Internet] 2017; 9 (4). Disponible en: https://bit.ly/3ox9rZ5

  23. Schenone AL, Cohen A, Patarroyo G, Harper L, Wang X, Shishehbor MH, et. al. Duggal Abhijit Therapeutichypothermia after cardiac arrest: A systematic review/meta-analysis exploring the impact of expanded criteria andtargeted temperature. Resucitation. [Internet] 2016; 108: 102-110. Disponible en: https://bit.ly/3KSDPqO

  24. Mahmoud A, Elgendy IY, Bavry AA. Use of Targeted Temperature Management After Out-of-hospital Cardiac Arrest:A Meta-Analysis of Randomized Controlled Trials. The American Journal of Medicine. [Internet] 2016; 129 (5): 522-527. DOI: https://doi.org/10.1016/j.amjmed.2015.11.004

  25. Patel JK, Parikh PB. Association between therapeutic hypothermia and long-term quality of life in survivors of cardiacarrest: A systematic review. Resuscitation. [Internet] 2016; 103: 54-59. DOI: 10.1016/j.resuscitation.2016.03.024.

  26. Dankiewicz J, Cronberg T, Lilja G, Jakobsen JC, Levin H, Ullén S, et. al. Hypothermia versus Normothermia after Outof-Hospital Cardiac Arrest. N Engl J Med. [Internet] 2021; 384:2283-94. DOI: 10.1056/NEJMoa2100591

  27. Corral E, Fernández F, López E, Martín JC, Montejo JC, Martín R, et. al. La aplicación de hipotermia moderada trasla reanimación cardiaca iniciada en el medio extrahospitalario puede incrementar la supervivencia sin deterioroneurológico. Estudios y controles. Emergencias (St. Vicenç dels Horts) [Internet]. 2012; 24 (1): 7-12. Disponible en:https://bit.ly/3cmidan

  28. Miñambres E, Holanda MS, Domínguez MJ, Rodríguez JC. Hipotermia terapéutica en pacientes neurocríticos.Medicina intensiva [Internet] 2008; 32 (5): 227-335 DOI: 10.1016/S0210-5691(08)70945-8

  29. Gaitán-Gómez OL, Aristizabal P, Bueno-Robles LS. Distracciones durante la práctica clínica de enfermería :revisión integrativa. Cienc y Cuid. [Internet] 2020 [Consulted: August 22 2021];17(2):129–42. DOI: http://dx.doi.org/10.22463/17949831.1576




2020     |     www.medigraphic.com