Top cooling Articles in Pediatrics

Out-of-hospital therapeutic hypothermia in cardiac arrest victims
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 10/13/2009

of–hospital cooling has been shown to be feasible and safe by means of intravenous infusion with cold fluids or non–invasively with cooling pads. A combination of these cooling methods might further improve cooling efficacy. If out–of–hospital cooling will further improve ... compared with in–hospital cooling needs to be determined in a prospective, randomised, sufficiently powered clinical trial. [more...]

A randomized controlled trial comparing the Arctic Sun to standard cooling for induction of hypothermia after cardiac arrest
Resuscitation, 10/27/2009

Heard KJ et al. – While the proportion of subjects reaching target temperature within 4h was not significantly different, the Arctic Sun cooled patients to a temperature of 34°C more rapidly than standard cooling blankets [more...]

Hypothermia for neuroprotection in adults after cardiopulmonary resuscitation
Cochrane Reviews, 10/27/2009

have shown that this outcome can be improved by cooling the body to about 33°C for several hours after cardiac arrest. The authors found five randomized trials with data on a total of 481 cardiac arrest survivors. With conventional cooling methods patients were more likely to leave hospital without ... survive to hospital discharge. No cooling specific adverse events were reported. In summary there is currently evidence supporting the use of conventional cooling to induce mild hypothermia in cardiac arrest survivors within the first hours of restoration of spontaneous circulation. [more...]

Effectivness of cooling gel pads and ice packs on perineal pain
British Journal of Midwifery, 11/13/2009

Steen–Greaves M et al. – This trial has demonstrated evidence that localized cooling of the perineum reduces the intensity of pain. Women were more satisfied when applying cooling gel pads and this treatment appeared to [more...]

Influence of recent exercise and skin temperature on ultrasound Doppler measurements in patients with rheumatoid arthritis - an intervention study
Rheumatology, 10/23/2009

Ellegaard K et al. – Cooling of the hand should, if possible, be avoided before a USD examination of the wrist in patients with RA, because the amount of Doppler activity might be ... carried out on 3 separate days Interventions were (i) isometric exercise of muscles of the hand and forearm, (ii) heating and (iii) cooling of hand Amount of Doppler in wrist joint was quantified by measuring percentage of colour in synovium—the colour fraction (CF) CF ... Results CF decreased significantly after cooling of hand Despite being highly significant, numerical decrease in CF was only modest, 0.78–1.33 percentage points Other interventions did not affect CF significantly, with P-values of 0.65 and 0.59 in heating intervention [more...]

Evaluating a Simple Method of Neuroprotective Hypothermia for Newborn Infants
Journal of Tropical Pediatrics, 10/01/2009

al. – Mean rectal temperatures during cooling were 33.9 ± 0.3°C. There was good correlation between insulated back temperatures and deep rectal temperatures. There were no major or irreversible adverse events during cooling. This method of cooling achieved rectal temperatures within the target [more...]

Efficacy of Field Treatments to Reduce Body Core Temperature in Hyperthermic Subjects
Medicine and Science in Sports and Exercise, 10/26/2009

al. – All three cooling techniques reduced Tc and would be suitable for first aid application in a field setting during transportation to adequate medical facilities. Chilled IV saline did not produce any contraindications, providing a suitable alternative for Tc cooling. [more...]

Active surface cooling protocol to induce mild therapeutic hypothermia after out-of-hospital cardiac arrest: A retrospective before-and-after comparison in a single hospital
Critical Care Medicine, 11/20/2009

Don CW et al. – The therapeutic hypothermia period was associated with a significant improvement in neurologic ... whose initial rhythm was ventricular fibrillation, but not in patients with other rhythms. [more...]

Dentin strain induced by laser irradiation
Australian Endodontic Journal, 11/09/2009

Watanabe S et al. – The results suggest that the strain induced by Er:YAG laser irradiation in dentin with water cooling may be minimal, but there still might be a risk of root micro–fracture if cooling is not sufficient. [more...]

Seizures Are Common in Term Infants Undergoing Head Cooling
Pediatric Neurology, 10/20/2009

Yap V et al. – Electrographic seizures were very frequent, and often lacked a clinical correlate. Electroencephalography monitoring during cooling should be considered to detect subclinical seizures. [more...]