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Decubitus op de ic na gecontroleerde milde hypothermie

  • Verpleegtechnisch
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Critical Care

Abstract

Bij patiënten die gereanimeerd zijn, wordt standaard gecontroleerde, milde hypothermie (streeftemperatuur 32-34oC) toegepast bij om verdere hersenschade te beperken. Het koelen gaat gepaard met perifere vasoconstrictie waardoor de huid en de subcutis minder doorbloed zijn. Onderzocht is of de beperkte doorbloeding – in combinatie met een verminderde toepassing van wisselhouding in verband met het beoogd waarborgen van de hemodynamiek – leidt tot meer decubitius en wat eraan gedaan kan worden.

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Literatuur

  1. Koster RW, Berdowski J. Overleving na reanimatie buiten het ziekenhuis in Noord-Holland: resultaten Arrest 7 over 2006–2008. Betere overleving dankzij de Automatische Externe Defibrillator? Den-Haag: Nederlandse Hartstichting, Rapport, hoofdstuk 4, 2009. (www.6minutenzone.nl/Uploads/Cijfersprocent20HVZprocent202009procent20hfd4.pdf).

  2. Negovsky VA. Postresuscitation disease. Crit Care Med 1988 Oct; 16 (10): 942–6.

  3. Oku K, Kuboyama K, Safar P, Obrist W, Sterz F, Leonov Y, et al. Cerebral and systemic arteriovenous oxygen monitoring after cardiac arrest. Inadequate cerebral oxygen delivery. Resuscitation 1994 Mar; 27 (2): 141–52.

  4. Hypothermia after Cardiac Arrest Study Group. Mild therapeutic hypothermia to improve the neurologic outcome after cardiac arrest. N Engl J Med 2002 Feb 21; 346 (8): 549–56.

  5. Bernard SA, Gray TW, Buist MD, Jones BM, Silvester W, Gutteridge G, et al. Treatment of comatose survivors of out-of-hospital cardiac arrest with induced hypothermia. N Engl J Med 2002 Feb 21; 346 (8): 557–63.

  6. Polderman KH, Herold I. Therapeutic hypothermia and controlled normothermia in the intensive care unit: practical considerations, side effects, and cooling methods. Crit Care Med 2009 Mar; 37 (3): 1101–20.

    Google Scholar 

  7. Wal G van der, Brinkman S, de Keizer NF, Bisschops L, Hoedemaekers CWE, Pickkers P. Influence of hypothermia after cardiac arrest on hospital mortality in the Netherlands. Netherlands Journal of Critical Care 13 (6), 347, 2010. Ref Type: Abstract.

    Google Scholar 

  8. Xu L, Yenari MA, Steinberg GK, Giffard RG. Mild hypothermia reduces apoptosis of mouse neurons in vitro early in the cascade. J Cereb Blood Flow Metab 2002 Jan; 22 (1): 21–8.

    Google Scholar 

  9. Aibiki M, Kawaguchi S, Maekawa N. Reversible hypophosphatemia during moderate hypothermia therapy for brain-injured patients. Crit Care Med 2001 Sep; 29 (9): 1726–30.

  10. Polderman KH, Peerdeman SM, Girbes AR. Hypophosphatemia and hypomagnesemia induced by cooling in patients with severe head injury. J Neurosurg 2001 May; 94 (5): 697–705.

    Google Scholar 

  11. Moore ZE, Cowman S. Repositioning for treating pressure ulcers. Cochrane Database Syst Rev 2009; (2): CD006898.

  12. Beekman D, Schoonhoven L, Fletcher J, Furtado K, Gunningberg L, Heyman H, et al. EPUAP Classification System for Pressure Ulcers: European Reliability Study. Journal of Advanced Nursing 2007; 60 (6): 682–91.

    Article  Google Scholar 

  13. Krapfl LA, Gray M. Does regular repositioning prevent pressure ulcers? J Wound Ostomy Continence Nurs 2008 nov;35 (6): 571–7.

  14. Laat E de, Schoonhoven L, Grypdonck M, Verbeek A, de Graaf R., Pickkers P et al. Early postoperative 30 degrees lateral positioning after coronary artery surgery: influence on cardiac output. J Clin Nurs 2007 Apr;16 (4): 654–61.

  15. Fox C. Living with a pressure ulcer: a descriptive study of patients' experiences. Br J Community Nurs 2002 Jun;7 (6 Suppl):10.

  16. Hopkins A, Dealey C, Bale S, Defloor T, Worboys F. Patient stories of living with a pressure ulcer. J Adv Nurs 2006 Nov; 56 (4): 345–53.

    Google Scholar 

  17. Allman RM. Pressure ulcer prevalence, incidence, risk factors, and impact. Clin Geriatr Med 1997 Aug;13 (3): 421–36.

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van den Boogaard, M., Wijers-Holys, P., Wijnen, N. et al. Decubitus op de ic na gecontroleerde milde hypothermie. CRITIC. CARE 7, 12–15 (2010). https://doi.org/10.1007/s12426-010-0107-0

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