ArticleClinical research in cardiology : official journal of the German Cardiac Society2008
Prehospital cooling with hypothermia caps (PreCoCa): a feasibility study.
Article in Clinical research in cardiology : official journal of the German Cardiac Society, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Treatment of resistant fever: new method of local cerebral cooling.Neurocritical care · 2011Trial
- Insight into the use of tympanic temperature during target temperature management in emergency and critical care: a scoping review.Journal of intensive care · 2021Article
- Anti-platelet Therapy Resistance - Concept, Mechanisms and Platelet Function Tests in Intensive Care Facilities.Journal of critical care medicine (Universitatea de Medicina si Farmacie din Targu-Mures) · 2016Article
- Therapeutic hypothermia for acute neurological injuries.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2012Review
- Coronary angiography and intervention during hypothermia can be performed safely without cardiac arrhythmia or vasospasm.Clinical research in cardiology : official journal of the German Cardiac Society · 2011Article
- Autonomic regulation during mild therapeutic hypothermia in cardiopulmonary resuscitated patients.Clinical research in cardiology : official journal of the German Cardiac Society · 2011Article
- Effects of mild hypothermia on hemodynamics in cardiac arrest survivors and isolated failing human myocardium.Clinical research in cardiology : official journal of the German Cardiac Society · 2010Article
- Prehospital therapeutic hypothermia after cardiac arrest--from current concepts to a future standard.Scandinavian journal of trauma, resuscitation and emergency medicine · 2009Review
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAnimal studies suggest that the induction of therapeutic hypothermia in patients after cardiac arrest should be initiated as soon as possible after ROSC to achieve optimal neuroprotective benefit. A "gold standard" for the method of inducing hypothermia quickly and safely has not yet been established. In order to evaluate the feasibility of a hypothermia cap we conducted a study for the prehospital setting. METHODS AND
resultsThe hypothermia cap was applied to 20 patients after out-of-hospital cardiac arrest with a median of 10 min after ROSC (25/75 IQR 8-15 min). The median time interval between initiation of cooling and hospital admission was 28 min (19-40 min). The median tympanic temperature before application of the hypothermia cap was 35.5 degrees C (34.8-36.3). Until hospital admission we observed a drop of tympanic temperature to a median of 34.4 degrees C (33.6-35.4). This difference was statistically significant (P < 0.001). We could not observe any side effects related to the hypothermia cap. 25 patients who had not received prehospital cooling procedures served as a control group. Temperature at hospital admission was 35.9 degrees C (35.3-36.4). This was statistically significant different compared to patients treated with the hypothermia cap (P < 0.001).
conclusionsIn summary we demonstrated that the prehospital use of hypothermia caps is a safe and effective procedure to start therapeutic hypothermia after cardiac arrest. This approach is rapidly available, inexpensive, non-invasive, easy to learn and applicable in almost any situation.
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