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Báo cáo y học: "Out-of-hospital therapeutic hypothermia in cardiac arrest victims"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài: Out-of-hospital therapeutic hypothermia in cardiac arrest victims | Scandinavian Journal of Trauma Resuscitation and Emergency Medicine BioMed Central Open Access Out-of-hospital therapeutic hypothermia in cardiac arrest victims Wilhelm Behringer Jasmin Arrich Michael Holzer and Fritz Sterz Address Department of Emergency Medicine Medical University of Vienna Vienna General Hospital Waehringer Guertel 18-20 1090 Vienna Austria Email Wilhelm Behringer - wilhelm.behringer@meduniwien.ac.at Jasmin Arrich - jasmin.arrich@meduniwien.ac.at Michael Holzer - michael.holzer@meduniwien.ac.at Fritz Sterz - fritz.sterz@meduniwien.ac.at Corresponding author Published 12 October 2009 Received 31 May 2009 Accepted 12 OCtober 2009 Scandinavian Journal of Trauma Resuscitation and Emergency Medicine 2009 17 52 doi l0.ll86 l757-724l -17-52 This article is available from http www.sjtrem.com content l7 1 52 2009 Behringer et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Despite many years of research outcome after cardiac arrest is dismal. Since 2005 the European Resuscitation Council recommends in its guidelines the use of mild therapeutic hypothermia 3234 for l2 to 24 hours in patients successfully resuscitated from cardiac arrest. The benefit of resuscitative mild hypothermia induced after resuscitation is well established while the benefit of preservative mild to moderate hypothermia induced during cardiac arrest needs further investigation before recommending it for clinical routine. Animal data and limited human data suggest that early and fast cooling might be essential for the beneficial effect of resuscitative mild hypothermia. Out-of-hospital cooling has been shown to be feasible and safe by means of intravenous infusion with cold fluids or non-invasively with cooling pads. A combination