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New findings on therapeutic hypothermia following cardiac arrest in children

Date:
July 29, 2011
Source:
Mary Ann Liebert, Inc., Publishers
Summary:
Intravenous delivery of cold fluids to reduce body temperature quickly after a heart attack and improve neurologic outcomes may not be as effective in children as it is in adults, according to a new study.

Intravenous delivery of cold fluids to reduce body temperature quickly after a heart attack and improve neurologic outcomes may not be as effective in children as it is in adults, according to a study reported in Therapeutic Hypothermia and Temperature Management, a peer-reviewed journal published by Mary Ann Liebert, Inc.

In adults, therapeutic hypothermia to minimize neurological complications caused by cardiac arrest can be achieved by rapidly infusing cold (4oC) intravenous fluid. However, this might not be the optimal approach in children. Alexis Topjian, Michael Hamid, Larissa Hutchins, and Vinay Nadkarni, The Children's Hospital of Philadelphia, University of Pennsylvania School of Medicine, studied the effect of the infusion rate on the temperature of the cold IV fluid in three simulated pediatric patients of different weights.

"This is an important and timely contribution because it reinforces the point that children are not just small people but require specialized treatment strategies to target pediatric CNS injury," says Editor-in-Chief W. Dalton Dietrich, PhD, Kinetic Concepts Distinguished Chair in Neurosurgery, Professor of Neurological Surgery, Neurology and Cell Biology and Anatomy, University of Miami Leonard M. Miller School of Medicine.


Story Source:

The above story is based on materials provided by Mary Ann Liebert, Inc., Publishers. Note: Materials may be edited for content and length.


Journal Reference:

  1. Alexis Topjian, Michael Hamid, Larissa Hutchins, Vinay Nadkarni. Can a Cold (4C) IV Fluid Bolus to Induce Therapeutic Hypothermia Really Deliver 4C to Children? Therapeutic Hypothermia and Temperature Management, 2011; 1 (2): 95 DOI: 10.1089/ther.2011.0003

Cite This Page:

Mary Ann Liebert, Inc., Publishers. "New findings on therapeutic hypothermia following cardiac arrest in children." ScienceDaily. ScienceDaily, 29 July 2011. <www.sciencedaily.com/releases/2011/07/110729175007.htm>.
Mary Ann Liebert, Inc., Publishers. (2011, July 29). New findings on therapeutic hypothermia following cardiac arrest in children. ScienceDaily. Retrieved April 23, 2014 from www.sciencedaily.com/releases/2011/07/110729175007.htm
Mary Ann Liebert, Inc., Publishers. "New findings on therapeutic hypothermia following cardiac arrest in children." ScienceDaily. www.sciencedaily.com/releases/2011/07/110729175007.htm (accessed April 23, 2014).

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