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  • Nadzorovana podhladitev po srčnem zastoju pri bolnikih s hiperglikemijo = Induced hypothermia after cardiac arrest in hyperglicaemic patients
    Grošelj, Urh ; Kavčič, Marko, medicina
    Induced hypothermia after primary cardiac arrest (PCA) reduces post-ischemic reperfusion brain damage. At the Center for Intensive Internal Medicine (CIIM)of the Ljubljana Medical Center, it has been ... in routine use since the beginning of 2004. Patients who have undergone induced hypothermia to date, have exhibited better survival rates and neurological outcomes, which is in agreement with the results of foreign studies. After PCA, many patients have severe hyperglycemia with serum glucose levels above 11 mmol/1. However, the effectiveness of induced hypothermia in patients with severe hyperglycemia after PCA remains unresearched. The purpose of this study was to evaluate survival, neurological outcomes and complications of treatment in patients with hyperglycemia after PCA who were treated with induced hypothermia, with respect to serum glucose levels, and to compare them with results obtained before this method was introduced. Another aim was to objectify the effectiveness of treatment for hyperglycemia in patients after PCA treated at the CIIM. The study included patients who were treated at the CIIM after PCA during the period from 1 January 2001 to 31 December 2005 and who fulfilled the criteria for treatment with induced hypothermia. The test group consisted of cooled patients, while the control group included noncooled patients, i. e.those from the period before the introduction of cooling. Serum glucose levels were compared between the two groups and within each of the groups the relationship between serum glucose levels, and survival rates and neurologicaloutcomes was studied. In patients with severe hyperglycemia after PCA, survival rates, neurological outcomes, complications of treatment and effectiveness of insulin therapy were compared between the cooled and the noncooled group. (Abstract truncated at 2000 characters)
    Vir: Medicinski razgledi : [medicinski pregledni, strokovni in raziskovalni članki]. - ISSN 0025-8121 (Letn. 45, št. 4, dec. 2006, str. 363-382)
    Vrsta gradiva - članek, sestavni del
    Leto - 2006
    Jezik - slovenski
    COBISS.SI-ID - 22713561

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    Digitalna knjižnica Slovenije - dLib.si

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