Number needed to treat = six: therapeutic hypothermia following cardiac arrest – an effective and cheap approach to save lives
نویسندگان
چکیده
In 2005, the European Resuscitation Council (ERC) guidelines stated: Unconscious adult patients with spontaneous circulation after out-of-hospital ventricular fibrillation cardiac arrest should be cooled to 32 to 34 degrees C for 12 to 24 hours. Patients with cardiac arrest from a non-shockable rhythm, in-hospital patients and children may also benefit from hypothermia. There is no argument to wait. We have to treat the next unconscious cardiac arrest patient with hypothermia.
منابع مشابه
Sudden cardiac death: Role of therapeutic hypothermia
Permanent neurocognitive deficits due to cerebral sequelae account for the majority of longterm morbidity and mortality in survivors of cardiac arrest today. Albeit therapeutic hypothermia had been used as effective measure to ameliorate cerebral ischemia-reperfusion injury during surgery for decades, it was not yet introduced into regular post-arrest care until 2003 due to significant side eff...
متن کاملCooling heads and hearts versus cooling our heels.
Evidence suggests that full implementation of therapeutic hypothermia after cardiac arrest could save thousands of lives each year. Critical unanswered questions persist, beginning with a lack of evidence in regard to how early cooling should be initiated, which cooling strategy is most effective at cooling the brain, and, ultimately, what method of cooling is most optimal for survival. Two rep...
متن کاملHypothermia for neuroprotection after cardiac arrest: systematic review and individual patient data meta-analysis.
OBJECTIVE Only a few patients survive cardiac arrest with favorable neurologic recovery. Our objective was to assess whether induced hypothermia improves neurologic recovery in survivors of primary cardiac arrest. DATA SOURCE Studies were identified by a computerized search of MEDLINE, EMBASE, CINAHL, PASCAL, the Cochrane Controlled Trial Register, and BIOSIS. STUDY SELECTION We included ra...
متن کاملHypothermia After Cardiac Arrest as a Novel Approach to Increase Survival in Cardiopulmonary Cerebral Resuscitation: A Review
CONTEXT The aim of this review study was to evaluate therapeutic mild hypothermia, its complications and various methods for induced mild hypothermia in patients following resuscitation after out-of-hospital cardiac arrest. EVIDENCE ACQUISITION Studies conducted on post-cardiac arrest cares, history of induced hypothermia, and therapeutic hypothermia for patients with cardiac arrest were incl...
متن کاملRespiratory controversies in the critical care setting. Should all patients be treated with hypothermia following cardiac arrest?
Cardiac arrest is a common and lethal medical problem; each year more than half a million people in the United States and Canada suffer cardiac arrest treated by emergency medical personnel or in-hospital providers. Of those who survive to hospital admission or suffer in-hospital arrest, 40-60% die prior to discharge. Neurologic injury is the major source of morbidity and mortality after recove...
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ورودعنوان ژورنال:
- Critical Care
دوره 11 شماره
صفحات -
تاریخ انتشار 2007