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Mild to moderate hypothermia is associated with improved neurological outcomes among patients with cardiac arrest.<>70]<>71]<>72] Conversely, a multicenter clinical trial found that mild hypothermia administered during surgery for treatment of a ruptured intracranial aneurysm did not improve outcomes after subarachnoid hemorrhage.<>73] Several small clinical studies have evaluated the feasibility of inducing modest hypothermia for treatment of patients with acute ischemic stroke.<>74]<>75]<>76]<>77]<>78]<>79]<>80]<>81] Two small studies evaluated the utility of hypothermia in treating patients with malignant cerebral infarctions; results were mixed.<>82]<>83] Potential side effects of therapeutic hypothermia include hypotension, cardiac arrhythmias, and pneumonia.<>84] In a systematic review of available data, Correia et al<>85] could find no evidence that physical cooling would improve outcomes after stroke. Although strong experimental and clinical evidence indicates that induced hypothermia can protect the brain in the presence of hypoxia or ischemia, including after cardiac arrest, data about the utility of induced hypothermia for treatment of patients with stroke are not yet available. Hypothermia is discussed in more detail in the neuroprotection section of this statement. 24 hr pharmacy <a href=http://my.wsbtv.com/service/displayKickPlace.kickAction?u=13801523&as=6690>errmed002 cheap tramadol</a> In the anesthetized dog, eletriptan has been shown to reduce carotid arterial blood flow, with only a small increase in arterial blood pressure at high doses. While the effect on blood flow was selective for the carotid arterial bed, decreases in coronary artery diameter were observed. 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