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Therapeutic Hypothermia

  • Book
  • © 2005

Overview

  • Fourth book in the Molecular and Cellular Biology of Critical Care Medicine series
  • Emphasizes resuscitative hypothermia
  • Global perspective on topic

Part of the book series: Molecular & Cellular Biology of Critical Care Medicine (MCCM, volume 4)

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Table of contents (16 chapters)

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About this book

Samuel A. Tisherman, MD', Fritz Sterz, MD~ '~niversit~ of Pittsburgh, Pittsburgh, PA, USA 2~edical University of Vienna, Vienna, Austria The use of hypothermia for a variety of therapeutic purposes has a long and erratic history. Hippocrates recommended the use of topical cooling to stop bleeding. Fay used cooling of the extremities for patients with tumors in the 1930s. It wasn't until the 1950s, when the effects of hypothermia on systemic oxygen metabolism became better defined, that systemic hypothermia became a commonly used modality, particularly for cardiac surgery. Hypothermia was used for protection (treatment before the insult) and preservation (treatment during the insult) of the heart and entire organism during planned operative ischemia. Shortly thereafter, attempts were made to use hypothermia for resuscitation (treatment after the insult) from cardiac arrest and for management of head trauma. At that time, it was felt that moderate hypothermia (28-32OC) was needed. This was difficult to achieve and manage. Multiple complications were noted. Consequently, therapeutic, resuscitative hypothermia lay dormant for many years while mild (32-35°C) to moderate hypothermia became common for many cardiothoracic and neurosurgical procedures. In the early 1990s, it was found that mild hypothermia, even after cardiac arrest, had benefit for the brain. Similar results were found with head trauma. This lead to a burst of enthusiasm for research into resuscitative hypothermia for a variety of insults, most of which have tissue ischemia as a major component.

Editors and Affiliations

  • Department of Critical Care, University of Pittsburgh, Pittsburgh, USA

    Samuel A. Tisherman

  • Emergency Medicine, Medical University of Vienna, Vienna, Austria

    Fritz Sterz

Bibliographic Information

  • Book Title: Therapeutic Hypothermia

  • Editors: Samuel A. Tisherman, Fritz Sterz

  • Series Title: Molecular & Cellular Biology of Critical Care Medicine

  • DOI: https://doi.org/10.1007/b107316

  • Publisher: Springer New York, NY

  • eBook Packages: Medicine, Medicine (R0)

  • Copyright Information: Springer-Verlag US 2005

  • Hardcover ISBN: 978-0-387-25402-9Published: 09 June 2005

  • Softcover ISBN: 978-1-4419-3793-3Published: 23 November 2010

  • eBook ISBN: 978-0-387-25403-6Published: 03 April 2007

  • Edition Number: 1

  • Number of Pages: XIV, 258

  • Topics: Intensive / Critical Care Medicine

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