心脏骤停后的目标温度管理在患有严重COVID-19疾病的分娩者身上
Ali Eman1, Onur Balaban2, Kezban Özmen Süner3
1Ali Eman Department of Anesthesiology and Reanimation, Sakarya Training and Research Hospital, Sakarya Turkey.
Pakistan journal of medical sciences
|July 26, 2023
概括
有针对性的温度管理 (TTM) 改善了这位COVID-19患者心脏骤停后的初始神经恢复. 然而,严重的并发症最终导致死亡,尽管低温治疗.
科学领域:
- 关键护理医学 关键护理医学
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
背景情况:
- 针对性温度管理 (TTM) 在改善心脏骤停后的结果方面表现有前途.
- 在重症患者中,COVID-19带来了独特的挑战,特别是在怀孕期间.
研究的目的:
- 描述TTM在产后COVID-19患者的心肺复苏 (CPR) 后的应用和结果.
主要方法:
- 一名23岁,26周怀孕的COVID-19患者经历了呼吸和心脏骤停,需要心肺复苏和紧急剖腹产.
- 在复苏后,启动了72小时的轻度低温方案.
主要成果:
- 患者最初表现出改善的神经结果,并在13天后被抽管.
- 尽管最初有好处,但患者经历了呼吸困难的恶化,重新输管,最终在第45天因严重的传染性并发症而死于多器官衰竭.
结论:
- 在重症COVID-19患者心脏骤停后,TTM可能会提供短期的神经效益.
- 严重的传染性并发症仍然是一个显著的风险,可能会在这个患者群体中超过TTM的好处.
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