Selected Publication:

SHR Neuro Cancer Cardio Lipid Metab Microb

Duh, M; Skok, K; Perc, M; Markota, A; Gosak, M.
Computational modeling of targeted temperature management in post-cardiac arrest patients.
Biomech Model Mechanobiol. 2022; 21(5): 1407-1424. Doi: 10.1007/s10237-022-01598-x
Web of Science PubMed FullText FullText_MUG

 

Co-authors Med Uni Graz

Skok Kristijan

Altmetrics:

Dimensions Citations:

Plum Analytics:

Scite (citation analytics):

Abstract:

Our core body temperature is held around [Formula: see text]C by an effective internal thermoregulatory system. However, various clinical scenarios have a more favorable outcome under external temperature regulation. Therapeutic hypothermia, for example, was found beneficial for the outcome of resuscitated cardiac arrest patients due to its protection against cerebral ischemia. Nonetheless, practice shows that outcomes of targeted temperature management vary considerably in dependence on individual tissue damage levels and differences in therapeutic strategies and protocols. Here, we address these differences in detail by means of computational modeling. We develop a multi-segment and multi-node thermoregulatory model that takes into account details related to specific post-cardiac arrest-related conditions, such as thermal imbalances due to sedation and anesthesia, increased metabolic rates induced by inflammatory processes, and various external cooling techniques. In our simulations, we track the evolution of the body temperature in patients subjected to post-resuscitation care, with particular emphasis on temperature regulation via an esophageal heat transfer device, on the examination of the alternative gastric cooling with ice slurry, and on how anesthesia and the level of inflammatory response influence thermal behavior. Our research provides a better understanding of the heat transfer processes and therapies used in post-cardiac arrest patients.

Find related publications in this database (using NLM MeSH Indexing)

Humans - administration & dosage

Hypothermia, Induced - methods

Heart Arrest - therapy

Body Temperature - physiology

Body Temperature Regulation - physiology

Computer Simulation - administration & dosage

Find related publications in this database (Keywords)

Thermoregulation

Human thermal model

Targeted temperature management

Cardiac arrest

Intensive care

Bio-heat transfer

Hypothermia

© Med Uni Graz • Imprint