Document Detail


Hospital-based use of therapeutic hypothermia after cardiac arrest in adults.
MedLine Citation:
PMID:  19231920     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Improving survival and brain function after initial resuscitation from cardiac arrest remains a critical challenge with few therapeutic options. The publication of several randomized controlled trials supporting the use of therapeutic hypothermia in cardiac arrest survivors has provided a remarkable opportunity to reduce mortality and neurologic disability from this leading cause of death. On the strength of these trials, therapeutic hypothermia has now been incorporated in the American Heart Association guidelines for post-resuscitation care. This review will focus on the hospital-based application of therapeutic hypothermia in adult cardiac arrest survivors, with special attention to practical aspects of cooling, protocol development, and evaluation of recent data from "real world" experiences using hypothermia as a treatment option. Finally, remaining research questions and directions for future improvements in therapy will be discussed.
Authors:
Noah T Sugerman; Benjamin S Abella
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Journal of neurotrauma     Volume:  26     ISSN:  1557-9042     ISO Abbreviation:  J. Neurotrauma     Publication Date:  2009 Mar 
Date Detail:
Created Date:  2009-03-18     Completed Date:  2009-07-27     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8811626     Medline TA:  J Neurotrauma     Country:  United States    
Other Details:
Languages:  eng     Pagination:  371-6     Citation Subset:  IM    
Affiliation:
Department of Emergency Medicine and Center for Resuscitation Science, University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA.
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MeSH Terms
Descriptor/Qualifier:
Body Temperature / physiology
Brain / blood supply,  metabolism,  physiopathology
Clinical Protocols / standards
Guidelines as Topic
Heart Arrest / complications*
Hospitals / statistics & numerical data*,  trends
Humans
Hypothermia, Induced / methods*,  statistics & numerical data,  trends
Hypoxia-Ischemia, Brain / etiology*,  physiopathology,  therapy*
Outcome Assessment (Health Care) / methods
Resuscitation / methods*,  statistics & numerical data,  trends

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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