Therapeutic Hypothermia in Cardiac Arrest Hipotermia terapéutica en la parada cardiaca
نویسنده
چکیده
Approximately 275 000 Europeans per year experience out-ofhospital cardiac arrest, with huge differences in survival ranging from more than 30% in some cities to just a few percent in others. The main cause of these significant survival differences is differences in overall quality of the treatment, both pre-hospital during resuscitation and in-hospital after return of spontaneous circulation. Although cardiopulmonary resuscitation and defibrillation received the most attention and constituted the major research areas over the past 3 decades, in-hospital treatment and postresuscitation care have received much more attention during the last 10 years.
منابع مشابه
Mild therapeutic hypothermia after cardiac arrest: mechanisms of action and protocol development Hipotermia terapêutica em pacientes pós-parada cardiorrespiratória: mecanismos de ação e desenvolvimento de protocolo assistencial
Cardiac arrest (CA) is a medical emergency defined as sudden and unexpected cessation of vital functions, characterized by absence of heart beats, respiratory movements and unresponsiveness to stimuli.(1) Nevertheless the development of reanimation maneuvers, mortality of cardiac arrest patients remains high.(2,3) Cardiac arrest produces sudden brain blood flow cessation, causing neuronal ische...
متن کاملReply to: Therapeutic hypothermia after cardiac arrest: outcome predictors
We would like to thank the interest paid to our study and the valuable comments regarding it.(1) Herein, we clarify the comments and questions raised. Despite advances in cardiopulmonary resuscitation, cardiac arrest is still associated with high morbidity and mortality.(2) Survival of these patients depends on the quality of care, and despite the fact that basic and advanced life support have ...
متن کاملCare of Patient Resuscitated from Cardiac Arrest* Abordagem do Paciente Reanimado, Pós-Parada Cardiorrespiratória
BACKGROUND AND OBJECTIVES: Out-of-hospital cardiac arrest is a major cause of death with survival rates as low as 5% to 35%. A large number of patients who survive resuscitation will face significant neurological damage, as a result of the ischemia that occurs both during cardiac arrest and reperfusion. However understanding of the mechanisms responsible for brain damage has not resulted in pro...
متن کاملThe use of a metronome during cardiopulmonary resuscitation in the emergency room of a university hospital
Objective: to compare the rate of return of spontaneous circulation (ROSC) and death after cardiac arrest, with and without the use of a metronome during cardiopulmonary resuscitation (CPR). Method: case-control study nested in a cohort study including 285 adults who experienced cardiac arrest and received CPR in an emergency service. Data were collected using In-hospital Utstein Style. The c...
متن کاملCaring for patients receiving therapeutic hypothermia post cardiac arrest in the intensive care unit.
Survivors of ventricular fibrillation cardiac arrest have poor and often devastating neurological outcomes despite advances in resuscitation techniques and services (Bernard et al., 2002; Collins & Samworth, 2008). In an effort to increase survival rates, improve neurological outcomes and reduce mortality for surviving patients, clinical trials have shown that a mild state of therapeutic hypoth...
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