Saving the life of patients in a coma, cardiac arrest thanks to the command hypothermia technique

Patients are admitted to the hospital in a state of apnea, cardiac arrest, maximum dilated dilation of the two sides, cyanosis of the whole body, a very severe redection.

Hospital E doctors have saved a patient’s life by applying command hypothermia. This is a highly effective method of neurological protection in the treatment of post-discontinuation of the 2015-2016 season, which minimizes the brain and nerve damage of post-emergency patients who stop patrolling.

Accordingly, N.A.T patients (26 years old, in Cau Giay, Hanoi) were transferred to the Emergency Department (Hospital E) in a state of apnea, cardiac arrest, maximum dilated plyotosis, low light reflection, full-body cyanosis, very heavy dimming.

Patients are admitted to the hospital in a state of apnea, cardiac arrest, maximum dilated dilation of the two sides, cyanosis of the whole body, a very severe redection.

After receiving the patient, emergency department doctors quickly carried out emergency cyclic discontinuation for the patient, restoring the heart rate but the patient remained in a deep coma and had to maintain coordination of high-dose vascular medications to maintain heart rate – blood pressure.

Immediately, the consultation between doctors of the Emergency Department, Cardiovascular Center and The Department of Active Resuscitation – Anti-toxicity to find the cause and discuss effective treatments to save the patient’s life.

Finally, doctors have come up with a moderate plan to apply resuscitation measures to save the patient’s life, while minimizing the leave of severe brain damage to the patient.

Doctors have applied command hypothermia techniques to save the patient’s life.

Thanks to the quick emergency coordination of the emergency department doctors and the efforts of the doctors and nurses of the Department of Resuscitation actively fighting poison, timely resuscitation and the application of early hypothermia techniques have helped save the patient’s life from the “death scythe”.

Conduct hypothermia techniques to protect the brain, minimize neurological relics for patients, in addition to resuscitation measures such as mechanical breathing, continuous dialysis …

The good sign is that after conducting the intervention of active resuscitation measures and the 24-hour process of command hypothermia, the patient has been more stable, has a self-breathing rhythm, the patient’s students have shruilated, have clear reflexes

After the 5th day of treatment, the patient has had reflexes of the limbs when stimulating pain, the patient’s blood pressure is almost stable again. After day 7, the patient opened his eyes as ordered. Up to now, after more than 1 month of treatment, the patient’s health condition is stable, alert, in good contact, restoring movement, eating and walking on his own.

Dr. Vu Hai Vinh – Head of Active and Anti-Toxic Resuscitation Department, Hospital E, explained that cardiac arrest (also known as cardiac arrest) is the cause of many different medical conditions. Although the emergency cardiac arrest was successful, the heart beat again, but for patients with external cardiac arrest, the survival rate was just under 10%, many survivors had severe neurological conditions, the main causes after cardiac arrest: brain damage, heart damage and other harmful inflammatory reactions … As a result, cerebral edema, inflammation and necrosis lead to brain death and death.

The patient is stable, alert, in good contact, recovering movement, eating and walking on his own.

Therefore, doctors have chosen to apply targeted hypothermia techniques to save the patient’s life after stopping the cardiac arrest. Targeted hypothermia is a treatment that uses a technique that helps control the patient’s temperature at 32-36 degrees Celsius within 24 hours – 72 hours after the emergency stops 32-36 degrees Celsius successfully.

It will then remain at this temperature for 24 hours to help protect brain cells from damage and recovery. After 24 hours, the machine will warm the patient according to the program very closely to gradually raise the patient’s temperature by 0.25 degrees / hour until the normal temperature is reached.

Gs. Ts. Le Ngoc Thanh – Director of The Hospital affirmed that Hospital E is a complete general hospital with the close coordination of many key specialties: cardiovascular, neurological, emergency, active resuscitation, anesthesia … with the application of many intensive emergency resuscitation techniques such as ECMO artificial cardiography, command hypothermia techniques and coronary imaging and intervention techniques, CVVH continuous dialysis, artificial ventilation …

Now patients are in critical condition with cardiovascular diseases, cardiac arrest due to various causes, severe brain damage due to trauma or cerebral vascular accidents … will be able to apply intensive techniques to bring more chances to be saved.