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العنوان
Induced mild hypothermia for ischemic stroke patients /
الناشر
Ahmed Essam Said Elnahrawy ,
المؤلف
Ahmed Essam Said Elnahrawy
هيئة الاعداد
باحث / Ahmed Essam Said Elnahrawy
مشرف / Mervat Mohamed Khalaf
مشرف / Hassan Effat
مشرف / Adel Alsisi
تاريخ النشر
2014
عدد الصفحات
114 P. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
العناية المركزة والطب العناية المركزة
تاريخ الإجازة
9/4/2015
مكان الإجازة
جامعة القاهرة - كلية الطب - Critical Care Medicine
الفهرس
Only 14 pages are availabe for public view

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from 123

Abstract

Therapeutic hypothermia is an established neuroprotective intervention in post-cardiac arrest patients. In our study we investigated the therapeutic value of mild induced hypothermia in ischemic stroke patients and its effect on mortality and degrees of disability. Methods: A total of 40 patients admitted to the ICU with ischemic stroke were included in a prospective, randomized, double centre study, and were randomly assigned to group A (30 patients) as the study group and group B (10 patients) as the control group. group A patients were subjected to induction of mild hypothermia (34-35 degrees Celsius) for a 24 hour period, plus the conventional stroke therapy. On the other hand, group B patients received the conventional stroke therapy alone. Hypothermia was achieved by IV acetaminophen, external cooling methods, and IV cold saline infusion. All patients were subjected to a thorough physical examination, GCS and SOFA score calculations upon admission and daily thereafter. Brain CT scan imaging was performed upon admission, 48 hours and 5 days after admission. Clinical outcome (conscious level, motor function, brain edema, duration of ICU stay, mortality) was recorded for all patients, as well as the development of any complication