Use of the Medicool™ cooling system to increase efficacy of therapeutic hypothermia post cardiac arrest
© Goodhart et al. 2011
Published: 1 March 2011
Patients admitted to intensive care (ITU) at Sheffield Teaching Hospitals who have had a cardiac arrest are cooled according to the local therapeutic hypothermia (TH) protocol regardless of rhythm or location of arrest . A previous audit identified poor efficacy in cooling patients to target . Following this, the Medicool™ device was purchased to improve cooling. This aim of this evaluation is to assess the efficacy of cooling with Medicool™.
Following local audit committee approval, patients admitted between May 2008 and July 2010 were retrospectively identified from ITU admission records. The following data were collected: demographics, arrest and admission characteristics, details of TH and outcome. Previous audit data from 2008 were also examined .
The Medicool™ system increases both the cooling rate and the efficacy of cooling in patients undergoing TH. We would advocate the use of Medicool™ over the traditional cooling techniques. It is more effective and additionally when compared with other more invasive cooling techniques is cheaper to instigate, easy for healthcare professionals to use and is associated with less side effects.
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