Core Temperature Measurement in Therapeutic Hypothermia: Tympanic Membrane, Bladder and Rectal Versus Pulmonary Artery Methods
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 20
- 试验地点
- 1
- 主要终点
- Difference of core temperature between rectum, bladder, esophagus and pulmonary artery
研究概览
简要总结
The purpose of this study is to determine that the measurements of rectal and bladder temperature are correctly consistent with core temperature by using the pulmonary artery catheter during therapeutic hypothermia; rapid cooling, maintenance, and slow rewarming phase.
详细描述
The guidelines of therapeutic hypothermia(TH)are rapid cooling, from normothermia to mild hypothermia(32~34 degree), maintenance, and slow rewarming phase. If core temperature maintained below 32 degree during TH, som complications will be developed, such as arrythmia, hypotension, cold diuresis, coagulopathy, and so on. Therefore correct measurement of core temperature during TH is very important process for successful post cardiac arrest care. we will know that rectal or bladder temperature are really reflect the core temperature during TH for post cardiac arrest care, especially rapid cooling phase, maintenance phase, and slow rewarming phase, respectively.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Only
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Out of cardiac arrest patient who is 18 years old.
- •Mean arterial pressure must be over 65 mmHg after return of spontaneous circulation.
- •Family consent to this study.
排除标准
- •In hospital arrest.
- •Arrest due to trauma
- •Arrest due to intracranial hemorrhage.
- •Below 30 degree at initial core temperature.
- •Pregnancy.
- •Family do not agree with our study.
- •Active bleeding patient.
结局指标
主要结局
Difference of core temperature between rectum, bladder, esophagus and pulmonary artery
时间窗: During 24 hour
次要结局
未报告次要终点
研究者
Jong Hwan Shin
Seoul National University
Seoul National University Hospital