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Báo cáo khoa học: "Therapeutic hypothermia after cardiac arrest – the implementation of the ILCOR guidelines in clinical routine is possible"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Therapeutic hypothermia after cardiac arrest – the implementation of the ILCOR guidelines in clinical routine is possible! | Available online http ccforum.eom content 10 6 425 Letter Therapeutic hypothermia after cardiac arrest - the implementation of the ILCOR guidelines in clinical routine is possible Christian Storm Joerg C Schefold Lutz Nibbe Frank Martens Anne Krueger Michael Oppert Achim Joerres and Dietrich Hasper Charité Universitatsmedizin Berlin Campus Virchow-Klinikum Department of Nephrology and Medical Intensive Care Medicine Augustenburger Platz 1 13353 Berlin Germany Corresponding author D Hasper Dietrich.Hasper@charite.de Published 2 November 2006 This article is online at http ccforum.com content 10 6 425 2006 BioMed Central Ltd See related letter by Sander et al. http ccforum.com content 10 2 407 Critical Care 2006 10 425 doi 10.1186 ee5061 Therapeutic hypothermia after cardiac arrest is a treatment with a high level of evidence. In 2003 the International Liaison Committee on Resuscitation ILCOR recommended such treatment for all comatose survivors of out-of-hospital cardiac arrest when the initial rhythm was ventricular fibrillation 1 . However recent studies have shown that only a minority of resuscitated patients are treated with therapeutic hypothermia in both American and European intensive care units 2-4 . A letter recently published in Critical Care reported the use of therapeutic hypothermia in Germany in only 38 of departments treating patients after cardiac arrest 5 . To improve adherence to the ILCOR guidelines we developed a written standard operating procedure SOP for patients after cardiac arrest admitted to our 38-bed medical intensive care unit. Starting in December 2005 the SOP was to be applied to all comatose patients after cardiac arrest irrespective of the initial rhythm. Since then the SOP has been applied in 28 out of 34 eligible patients. For four patients the physician in charge did not consider therapeutic hypothermia despite clear indication. In two other patients hypothermia was considered to be contraindicated because of extensive coronary .