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COMPLICATIONS OF THERAPEUTIC HYPOTHERMIA IN PATIENTS WITH CARDIAC ARREST DUE TO CARDIOVASCULAR CAUSES
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Abstract
Target: The study was conducted to assess the complications of hypothermia therapy in patients with cardiac arrest as the underlying cause. Methods: This cross-sectional retrospective study reviewed the medical records of a total of 35 patients who experienced cardiac arrest due to cardiac causes from May 2015 to December 2018. Results: Patients who underwent hypothermia therapy experienced the following complications: 100% had shivering, 5,7% had seizures, and 14,3% had clinical bleeding complications. Serum potassium levels increased from 3,4 ± 0,5 mmol/L at admission to 4,7 ± 0,9 mmol/L during the rewarming phase and decreased to 4,4 ± 1,0 mmol/L after hypothermia therapy. Platelet count at admission was 266 ± 61 (g/L) and decreased to 150 ± 60 (g/L) after hypothermia therapy (p < 0,05). Ventricular arrhythmias occurred in 2,9% of patients. Ventilator-associated pneumonia was observed in 51,4% of patients. Conclusion: Shivering, coagulation disturbances, and infectious complications are common in patients with cardiac arrest after hypothermia therapy. Close monitoring, timely detection, and management of complications are essential during the implementation of hypothermia therapy
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Keywords
hypothermia therapy, cardiac arrest, cardiac causes, complications.
References
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