Revista chilena de pediatría
versión impresa ISSN 0370-4106
BUSTOS B, RAÚL; SOTO G, GONZALO; SANCHEZ Z, AMPARO y MONTOYA S, MARIANA. Use of Hypothermia in Out of Hospital Pediatric Arrest: A Case report. Rev. chil. pediatr. [online]. 2009, vol.80, n.6, pp. 545-550. ISSN 0370-4106. doi: 10.4067/S0370-41062009000600008.
Moderate hypothermia decreases mortality and improves neurological outcome in adults as well as newborns affected with Neonatal Asphyxia. The effect of hypothermia among children with cardiac arrest (CRA) is not known. Objective: Case description of the use of therapeutic hypothermia in a pediatric patient with cardiac arrest. Clinical Case: Four-year-old girl who presented extra-hospitalary CRA, where modérate hypothermia (34 degrees Celsius) was used for neurological protection in a PICU. The patient was discharged in satisfactory neurological condition, as rated through a Pediatric Cerebral Performance Category (PCPC) Test assessment, with a score of 2, similar to her baseline evaluation. Use of Hypothermia in PICU is discussed, as well as methods to induce this state and potential side effects of the treatment.
Palabras clave : Hypothermia; pediatrics; cardiac arrest; neurological injury.