Post-Resuscitation Injury: A Brain Point of View /c

Описание: Dr. Alfredo Sierra discusses post resuscitation injuries with regards to the brain. Dr. Sierra is a doctor in intensive therapy and has 34 years of experience. He is the head of the intensive therapy care unit at the Encalas Hospital and is a pioneer in intensive care in Mexico. Dr. Sierra began courses in fundamental critical care support in both Mexico and Latin America.

He begins his discussion with some background on the physiology, explaining how the brain works and how the brain is affected by resuscitation. He explains the critical temperatures of the brain, and how post resuscitation care to maintain the brains optimal temperatures is critical. He then discusses treatment techniques for post resuscitation, such as hypothermia.

The brain can be severely damaged if it reaches temperatures of 36.5 degrees Celsius or above. Dr. Sierra believes that when the brain is reaching hyperthermia, which is the case in some post resuscitation brain cases, then hypothermia treatment is necessary and beneficial to the health of the patient. However, Dr. Sierra explains we live in “normal-thermia” and that our organs function the best at normal temperatures. Hypothermia should not be used unless the brain is in danger of overheating. Post resuscitation care should aim to cause the least amount of change to the patient unless the change is necessary and without this change the patient could have further damage.