Therapeutic Hypothermia
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COJOCARU, Victor, VRABII, D., GROPPA, Stanislav, SIDORENKO, Anatolie. Therapeutic Hypothermia. In: NANO-2016: Ethical, Ecological and Social Problems of Nanoscience and Nanotechnologies, Ed. 2016, 11-14 mai 2016, Chişinău. Chișinău, Republica Moldova: 2016, pp. 10-11.
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NANO-2016: Ethical, Ecological and Social Problems of Nanoscience and Nanotechnologies 2016
Conferința "NANO-2016: Ethical, Ecological and Social Problems of Nanoscience and Nanotechnologies"
2016, Chişinău, Moldova, 11-14 mai 2016

Therapeutic Hypothermia


Pag. 10-11

Cojocaru Victor1, Vrabii D.2, Groppa Stanislav3, Sidorenko Anatolie1
 
1 Institute of the Electronic Engineering and Nanotechnologies "D. Ghitu",
2 Technical University of Moldova,
3 Academy of Sciences of Moldova
 
 
Disponibil în IBN: 27 aprilie 2020


Rezumat

Hypothermia is a potentially dangerous drop in body temperature, usually caused by
prolonged exposure to cold temperatures. Hypothermia for therapeutic purposes is used for its
cooling effect on certain areas of the patient's body, in order to reduce the risk of ischemic
tissue injury following a period of inadequate blood supply [1]. Using of this treatment
reduces mortality rate from 46.51% to 25.58% [2]. Patients who have been shown to benefit
from induced hypothermia include the following:
 Intubated patients with treatment initiated within 6 hours after cardiac arrest
(nonperfusing ventricular tachycardia [VT] or VF)
 Patients able to maintain a systolic blood pressure >90 mm Hg, with or without pressors,
after CPR
 Patients in a coma at the time of cooling
Patients for whom hypothermia may theoretically carry increased risk include those
with the following conditions:
 Recent major surgery within 14 days - Possible risk for infection and bleeding
 Systemic infection/sepsis - Small increase in risk of infection
 Coma from other causes (drug intoxication, preexisting coma prior to arrest)
In addition, hypothermia is inappropriate in patients with a valid do not resuscitate
order (DNR).
There are two types of the methods of producing hypothermia: invasive and
noninvasive. Non-invasive methods using external sources of cooling applied on the skin cold
air, ice packs, cooling beds, or as in our case a special helmet for head with Peltier elements.
The use of Peltier cooling elements allow elaboration of a mobile, low size device which can
be used in emergency medical services which will reduce the risk of a ischemic trauma of
tissues after heart failure or blockage of arteries to embolism.

figure

Fig. 1 The location of Peltier elements and cooling system on the human head