questionsmedicales.fr
Thérapeutique
Cryothérapie
Hypothermie provoquée
Hypothermie provoquée : Questions médicales fréquentes
Diagnostic
5
Hypothermie
Température corporelle
Tests diagnostiques
Évaluation neurologique
Signes cliniques
Rythme cardiaque
Imagerie médicale
Complications
Hypothermie
Soins médicaux
Symptômes
5
Troubles de la conscience
Confusion mentale
Détresse respiratoire
Bradycardie
Frissons
Température corporelle
Système nerveux
Fonctions nerveuses
Prévention
5
Prévention
Surveillance médicale
Milieu hospitalier
Équipement médical
Patients à risque
Surveillance
Insuffisance cardiaque
Troubles neurologiques
Protocoles
Sécurité du patient
Traitements
5
Médicaments
Complications
Surveillance
Signes vitaux
Réchauffement
Choc circulatoire
Couvertures chauffantes
Réchauffement
Complications
5
Complications
Troubles cardiaques
Arythmies
Température corporelle
Coagulation sanguine
Saignement
Infections
Immunosuppression
Conséquences neurologiques
Troubles de la mémoire
Facteurs de risque
5
Facteurs de risque
Âge avancé
Obésité
Isolation corporelle
Maladies métaboliques
Susceptibilité
Antécédents médicaux
Vulnérabilité
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"text": "Le diagnostic repose sur la mesure de la température corporelle et l'évaluation clinique."
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{
"@type": "Question",
"name": "Quels tests sont utilisés pour évaluer l'hypothermie ?",
"position": 2,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des tests sanguins et des évaluations neurologiques peuvent être effectués."
}
},
{
"@type": "Question",
"name": "Quels signes cliniques indiquent l'hypothermie ?",
"position": 3,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les signes incluent confusion, frissons, et ralentissement du rythme cardiaque."
}
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{
"@type": "Question",
"name": "L'imagerie est-elle nécessaire pour le diagnostic ?",
"position": 4,
"acceptedAnswer": {
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{
"@type": "Question",
"name": "Comment différencier l'hypothermie provoquée de l'hypothermie accidentelle ?",
"position": 5,
"acceptedAnswer": {
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{
"@type": "Question",
"name": "Quels sont les symptômes de l'hypothermie provoquée ?",
"position": 6,
"acceptedAnswer": {
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{
"@type": "Question",
"name": "L'hypothermie provoquée peut-elle causer des troubles de la conscience ?",
"position": 7,
"acceptedAnswer": {
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"text": "Oui, elle peut entraîner des troubles de la conscience et de la confusion mentale."
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{
"@type": "Question",
"name": "Y a-t-il des symptômes spécifiques à surveiller ?",
"position": 8,
"acceptedAnswer": {
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"text": "Surveillez les signes de détresse respiratoire et de bradycardie."
}
},
{
"@type": "Question",
"name": "Les frissons sont-ils présents dans l'hypothermie provoquée ?",
"position": 9,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les frissons peuvent être présents, mais peuvent être absents si la température est trop basse."
}
},
{
"@type": "Question",
"name": "Comment l'hypothermie affecte-t-elle le système nerveux ?",
"position": 10,
"acceptedAnswer": {
"@type": "Answer",
"text": "Elle peut ralentir les fonctions nerveuses, entraînant confusion et réflexes diminués."
}
},
{
"@type": "Question",
"name": "Comment prévenir l'hypothermie provoquée ?",
"position": 11,
"acceptedAnswer": {
"@type": "Answer",
"text": "La prévention implique une surveillance étroite lors de procédures médicales nécessitant une hypothermie."
}
},
{
"@type": "Question",
"name": "Quelles sont les précautions à prendre en milieu hospitalier ?",
"position": 12,
"acceptedAnswer": {
"@type": "Answer",
"text": "Assurez-vous que le personnel est formé et que l'équipement est adéquat pour le réchauffement."
}
},
{
"@type": "Question",
"name": "Les patients à risque doivent-ils être surveillés ?",
"position": 13,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les patients à risque doivent être surveillés de près pour éviter l'hypothermie."
}
},
{
"@type": "Question",
"name": "Quelles conditions augmentent le risque d'hypothermie ?",
"position": 14,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les conditions comme l'insuffisance cardiaque ou les troubles neurologiques augmentent le risque."
}
},
{
"@type": "Question",
"name": "Les protocoles de réchauffement sont-ils importants ?",
"position": 15,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des protocoles de réchauffement standardisés sont essentiels pour la sécurité du patient."
}
},
{
"@type": "Question",
"name": "Quel est le traitement principal de l'hypothermie provoquée ?",
"position": 16,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le traitement principal est la réchauffement contrôlé du patient, souvent par voie intraveineuse."
}
},
{
"@type": "Question",
"name": "Des médicaments sont-ils utilisés pour traiter l'hypothermie ?",
"position": 17,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des médicaments peuvent être administrés pour traiter les complications, mais pas l'hypothermie elle-même."
}
},
{
"@type": "Question",
"name": "Comment surveille-t-on un patient en hypothermie provoquée ?",
"position": 18,
"acceptedAnswer": {
"@type": "Answer",
"text": "La surveillance inclut le contrôle de la température, des signes vitaux et de l'état neurologique."
}
},
{
"@type": "Question",
"name": "Quelle est l'importance du réchauffement progressif ?",
"position": 19,
"acceptedAnswer": {
"@type": "Answer",
"text": "Un réchauffement progressif évite les complications comme le choc circulatoire."
}
},
{
"@type": "Question",
"name": "Peut-on utiliser des couvertures chauffantes ?",
"position": 20,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les couvertures chauffantes sont souvent utilisées pour un réchauffement contrôlé."
}
},
{
"@type": "Question",
"name": "Quelles complications peuvent survenir avec l'hypothermie provoquée ?",
"position": 21,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications incluent des troubles cardiaques, des infections et des problèmes neurologiques."
}
},
{
"@type": "Question",
"name": "L'hypothermie provoquée peut-elle causer des arythmies ?",
"position": 22,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, elle peut provoquer des arythmies cardiaques en raison de l'abaissement de la température."
}
},
{
"@type": "Question",
"name": "Comment l'hypothermie affecte-t-elle la coagulation sanguine ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "Elle peut altérer la coagulation, augmentant le risque de saignement."
}
},
{
"@type": "Question",
"name": "Les infections sont-elles un risque en hypothermie provoquée ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, le risque d'infections augmente en raison de l'immunosuppression potentielle."
}
},
{
"@type": "Question",
"name": "Quelles sont les conséquences neurologiques possibles ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des séquelles neurologiques peuvent survenir, notamment des troubles de la mémoire et de la concentration."
}
},
{
"@type": "Question",
"name": "Quels sont les facteurs de risque de l'hypothermie provoquée ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les facteurs incluent l'âge avancé, les maladies cardiaques et les troubles neurologiques."
}
},
{
"@type": "Question",
"name": "Les patients sous anesthésie sont-ils à risque ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, l'anesthésie générale peut augmenter le risque d'hypothermie provoquée."
}
},
{
"@type": "Question",
"name": "Les patients obèses sont-ils plus à risque ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "Non, l'obésité peut en fait réduire le risque d'hypothermie en raison de l'isolation corporelle."
}
},
{
"@type": "Question",
"name": "Les maladies métaboliques influencent-elles le risque ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, certaines maladies métaboliques peuvent augmenter la susceptibilité à l'hypothermie."
}
},
{
"@type": "Question",
"name": "Les antécédents d'hypothermie augmentent-ils le risque ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des antécédents d'hypothermie peuvent rendre un patient plus vulnérable."
}
}
]
}
]
}
Expert en Médecine, Optimisation des Parcours de Soins et Révision Médicale
Validation scientifique effectuée le 15/04/2026
Contenu vérifié selon les dernières recommandations médicales
4 publications dans cette catégorie
Affiliations :
Laboratory of Stress Physiology and Metabolism, Division for Experimental Natural Science, Faculty of Arts and Science, Kyushu University, Fukuoka 819-0395, Japan.
Publications dans "Hypothermie provoquée" :
3 publications dans cette catégorie
Affiliations :
Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Department of Neurology, Kantonsspital Luzern, Luzern, Switzerland.
Department of Neurology, University of Bern, Bern, Switzerland.
Publications dans "Hypothermie provoquée" :
3 publications dans cette catégorie
Affiliations :
Laboratory of Regulation in Metabolism and Behavior, Graduate School of Bioresource and Bioenvironmental Science, Kyushu University, Fukuoka 819-0395, Japan.
Publications dans "Hypothermie provoquée" :
3 publications dans cette catégorie
Affiliations :
Department of Pharmacy, Faculty of Science, National University of Singapore, Singapore 117543, Singapore.
NUS Graduate School for Integrative Sciences & Engineering, Centre for Life Sciences, National University of Singapore, Singapore 119077, Singapore.
Publications dans "Hypothermie provoquée" :
3 publications dans cette catégorie
Affiliations :
Department of Pharmacy, Faculty of Science, National University of Singapore, Singapore 117543, Singapore.
NUS Graduate School for Integrative Sciences & Engineering, Centre for Life Sciences, National University of Singapore, Singapore 119077, Singapore.
Publications dans "Hypothermie provoquée" :
2 publications dans cette catégorie
Affiliations :
Department of Intensive Care, Erasme Hospital, Université Libre de Bruxelles, Brussels, Belgium.
Publications dans "Hypothermie provoquée" :
2 publications dans cette catégorie
Affiliations :
St Vincent De Paul Long-Term Care Facility, Luqa, Malta galeadoriella@gmail.com.
Publications dans "Hypothermie provoquée" :
2 publications dans cette catégorie
Affiliations :
St Vincent De Paul Long-Term Care Facility, Luqa, Malta.
Publications dans "Hypothermie provoquée" :
2 publications dans cette catégorie
Affiliations :
Department of Intensive Care, Hôpital Universitaire de Bruxelles (HUB), Brussels, Belgium.
Laboratoire Expérimental des Soins Intensifs, Université Libre de Bruxelles (ULB), Brussels, Belgium.
Publications dans "Hypothermie provoquée" :
2 publications dans cette catégorie
Affiliations :
Laboratory of Regulation in Metabolism and Behavior, Graduate School of Bioresource and Bioenvironmental Science, Kyushu University, Fukuoka 819-0395, Japan.
Publications dans "Hypothermie provoquée" :
2 publications dans cette catégorie
Affiliations :
Laboratory of Regulation in Metabolism and Behavior, Graduate School of Bioresource and Bioenvironmental Science, Kyushu University, Fukuoka 819-0395, Japan.
Publications dans "Hypothermie provoquée" :
2 publications dans cette catégorie
Affiliations :
Laboratory of Regulation in Metabolism and Behavior, Graduate School of Bioresource and Bioenvironmental Science, Kyushu University, Fukuoka 819-0395, Japan.
Publications dans "Hypothermie provoquée" :
2 publications dans cette catégorie
Affiliations :
Department of Emergency Medicine, Stanford University Medical Center, Stanford, California, USA.
Department of Emergency Medicine, Alaska Native Medical Center, Anchorage, Alaska, USA.
International Commission for Mountain Emergency Medicine (ICAR MEDCOM), Zürich, Switzerland.
Publications dans "Hypothermie provoquée" :
2 publications dans cette catégorie
Affiliations :
Department of Anesthesiology, Intensive Care Medicine, Emergency Medicine and Pain Medicine, Armed Forces Hospital Ulm, Ulm, Germany.
Publications dans "Hypothermie provoquée" :
2 publications dans cette catégorie
Affiliations :
International Commission for Mountain Emergency Medicine (ICAR MEDCOM), Zürich, Switzerland.
Department of Anaesthesiology and Intensive Care Medicine, Hospitallers Brothers Hospital, Paracelsus Medical University, Salzburg, Austria.
Publications dans "Hypothermie provoquée" :
2 publications dans cette catégorie
Affiliations :
International Commission for Mountain Emergency Medicine (ICAR MEDCOM), Zürich, Switzerland.
Institute of Mountain Emergency Medicine, Eurac Research, Bolzano, Italy.
Department of Anesthesiology and Intensive Care Medicine, Medical University of Innsbruck, Innsbruck, Austria.
Publications dans "Hypothermie provoquée" :
2 publications dans cette catégorie
Affiliations :
State Key Laboratory of Medical Neurobiology and MOE Frontiers Center for Brain Science, Institutes of Brain Science, Shanghai Medical College, Fudan University, Shanghai, China.
Publications dans "Hypothermie provoquée" :
2 publications dans cette catégorie
Affiliations :
Department of Biomedical Engineering, University of Miami, Coral Gables, FL, United States.
Publications dans "Hypothermie provoquée" :
2 publications dans cette catégorie
Affiliations :
Department of Otolaryngology, University of Miami, Coral Gables, FL, United States.
Publications dans "Hypothermie provoquée" :
2 publications dans cette catégorie
Affiliations :
The Miami Project to Cure Paralysis, University of Miami, Coral Gables, FL, United States.
Publications dans "Hypothermie provoquée" :
Therapeutic hypothermia (TH) is used to treat patients with cerebral ischemia. Body surface cooling provides a simple noninvasive method to induce TH. We compared three surface cooling systems (Arctic...
A 50-year-old man was admitted to our hospital with hypotension and bradycardia after receiving high doses of atenolol, amlodipine, and etizolam. He had a drug-induced J wave on electrocardiography an...
Coagulation abnormalities and microthrombi contribute to septic shock, but the impact of body temperature regulation on coagulation in patients with sepsis is unknown. We tested the hypothesis that mi...
Good neurological outcome after cardiac arrest is difficult to achieve. Interventions during the resuscitation phase and treatment within the first hours after the event are critical for a favourable ...
To evaluate the benefits and harms of therapeutic hypothermia after cardiac arrest in adults compared to standard treatment....
We used standard, extensive Cochrane search methods. The latest search date was 30 September 2022....
We included randomised controlled trials (RCTs) and quasi-RCTs in adults comparing therapeutic hypothermia after cardiac arrest with standard treatment (control). We included studies with adults coole...
We used standard Cochrane methods. Our primary outcome was 1. neurological recovery. Our secondary outcomes were 2. survival to hospital discharge, 3. quality of life, 4. cost-effectiveness and 5....
We used GRADE to assess certainty....
We found 12 studies with 3956 participants reporting the effects of therapeutic hypothermia on neurological outcome or survival. There were some concerns about the quality of all the studies, and two ...
Current evidence suggests that conventional cooling methods to induce therapeutic hypothermia may improve neurological outcomes after cardiac arrest. We obtained available evidence from studies in whi...
While experimental data suggest that selective intracoronary hypothermia decreases infarct size, studies in patients with ST-elevation myocardial infarction (STEMI) are lacking....
We investigated the efficacy of selective intracoronary hypothermia during primary percutaneous coronary intervention (PCI) to decrease infarct size in patients with STEMI....
In this multicentre randomised controlled trial, 200 patients with large anterior wall STEMI were randomised 1:1 to selective intracoronary hypothermia during primary PCI or primary PCI alone. Using a...
Selective intracoronary hypothermia was performed in 94/100 patients randomised to cooling. Distal coronary temperature decreased by 6°C within 43 seconds (interquartile range [IQR] 18-113). The media...
Selective intracoronary hypothermia during primary PCI in patients with anterior wall STEMI was feasible and safe but did not decrease infarct size compared with standard primary PCI. (ClinicalTrials....
Hypoxic-ischemic encephalopathy in low resource settings is associated with low occurrence of perinatal sentinel events, growth restriction, short birth depression, early seizure onset, white matter i...
Therapeutic hypothermia is a promising candidate for stroke treatment although its efficacy has not yet been demonstrated in patients. Changes in blood molecules could act as surrogate markers to eval...
Blood samples from 54 patients included in the EuroHYP-1 study (27 treated with hypothermia, and 27 controls) were obtained at baseline, 24 ± 2 h, and 72 ± 4 h. The levels of a panel of 27 biomarkers,...
Metalloproteinase-3 (MMP-3), fatty-acid-binding protein (FABP), and interleukin-8 (IL-8) increased over time in relation to the hypothermia treatment. Statistically significant correlations between th...
Although the exact roles of MMP3, FABP, and IL-8 in hypothermia-treated stroke patients are not known, further exploration is needed to confirm their roles in brain ischemia....
Though there has been an increase in the number of neonates with hypoxic-ischemic encephalopathy (HIE) treated by therapeutic hypothermia (TH) in recent years, the effect of therapeutic hypothermia on...
This study aims to explore the safety and efficacy of therapeutic hypothermia in neonates with mild HIE....
Retrospectively collected between January 2010 to December 2022 at Children's Hospital of Fudan University, neonates with mild HIE were divided into TH and non-TH groups. Clinical data of the mild HIE...
A total of 71 neonates with mild HIE were included, including 31 in the TH group and 40 in the non-TH group. Compared with the non-TH group, the TH group had significantly lower 5-minute Apgar scores ...
Therapeutic hypothermia can reduce the incidence of brain injury in neonates with mild HIE....
Hypoxic-ischemic encephalopathy (HIE) affects 1.5 newborns per 1 thousand term live births. Therapeutic hypothermia (TH) does not prevent all adverse outcomes. The experience with TH is still limited ...
To describe the frequency of epilepsy, altered neurological exam, and neurodevelopmental delay at 12 months of age in patients treated with TH in a reference hospital in Rio de Janeiro and to evaluate...
We evaluated medical records from the Neonatal Intensive Care Unit hospitalization and from first evaluation recorded at 12 months of age in the High-Risk Neonate Follow-up Outpatient Sevice....
A total of 30 subjects were included in the study. We found epilepsy in 18.2% of the patients, altered neurological exam in 40.9%, and neurodevelopmental delay in 36.4%. We also found a significant re...
High incidences of epilepsy, altered neurological exams, and neurodevelopmental delay were found, despite the use of TH. A more efficient use of resources is needed, as well as measures such as early ...
Patients with respiratory failure may remain hypoxemic despite treatment with venovenous extracorporeal membrane oxygenation (VV-ECMO). Therapeutic hypothermia is a potential treatment for such hypoxi...