Pediatric cerebral resuscitation1

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Twenty-one pediatric patients suffered cerebral anoxic-ischemic insults and were considered candidates for cerebral resuscitation measures. Fifteen were randomly assigned to treatment protocols of either hypothermia to 30-31 ºC, barbiturate coma using thiopental, or a combination of hypothermia and thiopental barbiturate coma. Six patients were not assigned to treatment protocols. One patient had an isoelectric electroencephalogram and absent brainstem auditory evoked potentials and was pronounced brain dead. The other 5 patients were showing signs of rapid neurologic recovery and did not require cerebral resuscitation measures. To date there is no significant difference in outcome between the treatment categories.



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