Introduction: Hypothermia is therapeutic procedure which is used in seriously ill asphyctic and post CPR children with the aim of stabilisation patient's general condition. The aim of this study was to evaluate hypothermia effects, especially on cardiac rhythm.
Methods: During 1.1.2010-1.1.2013.at Paediatric clinic, group of 14 sick paediatric and neonatal patients were conducted for therapeutic hypothermia.
Results: First Neonatal Group /10 pts/ with diagnosis of aspyhxia perinatalis; 40% had sepsis, raised CRP, cardiac enzymes /95%/. All pts pre procedures had: metabolic acidosis, normal ECG, during procedure sinus bradycardia /100%/, post procedure: normal ECG. BP pre procedure 39.2mmHg, post: 52.8mmHg. Second Paediatric Group /4 pts/: 50% were post CPR, 25% had vasculitis, 25% epi suprarefractorius; pre procedure: CRP 62, post CRP 38; cardiac enzymes: 2/4 raised, post: normal, pre procedure: metabolic acidosis, post: normal; ECG in ¾ myocardial insuffitienty, post: ECG normal. BP pre: 50mmHg post 64mmHg. Statistically significant myocardial response obtained in: ECG, BP p=0.001, pH p=0.007, EB p=0.003.
Conclusions: Therapeutic hypothermia as additional curative tool is very useful in treatment of sick paediatric patients with good cardiac cell response