TAILIEUCHUNG - Báo cáo y học: " Hypothermia in bleeding trauma: a friend or a foe?"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài: Hypothermia in bleeding trauma: a friend or a foe? | Scandinavian Journal of Trauma Resuscitation and Emergency Medicine BioMed Central Review Hypothermia in bleeding trauma a friend or a foe Tareq Kheirbek1 2 Ashley R Kochanek1 and Hasan B Alam 1 Open Access Address Department of Surgery Division of Trauma Emergency Surgery and Surgical Critical Care Massachusetts General Hospital Harvard Medical School Boston MA USA and 2Department of Surgery Washington Hospital Center Washington DC USA Email Tareq Kheirbek - hbalam@ Ashley R Kochanek - akochanek@ Hasan B Alam - hbalam@ Corresponding author Published 23 December 2009 Received 16 July 2009 z __ _JZ- z . zr . A v z r Accepted 23 December 2009 Scandinavian Journal of Trauma Resuscitation and Emergency Medicine 2009 17 65 doi 186 1757-7241-17-65 This article is available from http content 17 1Z65 2009 Kheirbek et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract_ The induction of hypothermia for cellular protection is well established in several clinical settings. Its role in trauma patients however is controversial. This review discusses the benefits and complications of induced hypothermia-emphasizing the current state of knowledge and potential applications in bleeding patients. Extensive pre-clinical data suggest that in advanced stages of shock rapid cooling can protect cells during ischemia and reperfusion decrease organ damage and improve survival. Yet hypothermia is a double edged sword unless carefully managed its induction can be associated with a number of complications. Appropriate patient selection requires a thorough understanding of the .

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