Clinical Implementation of Therapeutic Hypothermia after Cardiac Arrest.
10.5124/jkma.2009.52.12.1173
- Author:
Hyuk Jun YANG
1
Author Information
1. Department of Emergency Medicine, Gacheon University College of Medicine, Korea. yanghj@gilhospital.com
- Publication Type:Original Article ; Clinical Trial
- Keywords:
Cardiac arrest;
Cardiopulmonary resuscitation;
Therapeutic hypothermia
- MeSH:
American Heart Association;
Brain Injuries;
Cardiopulmonary Resuscitation;
Emergencies;
Heart Arrest;
Humans;
Hypothermia;
Hypothermia, Induced;
Prognosis;
Stress, Psychological
- From:Journal of the Korean Medical Association
2009;52(12):1173-1179
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Post-resuscitative induced hypothermia lowers mortality, reduces neurologic impairment after cardiac arrest, and is recommended by 2005 CPR guidelines of American Heart Association. This article reviews the mechanisms of hypothermic neuroprotection, the clinical trials that support its use after cardiac arrest, as well as the impact of hypothermia on patient management and prognosis. In caring for patients suffering ischemic brain injury after cardiac arrest, the role of the physician is no longer limited to conventional therapy but also extends to active involvement in clinical management which includes the use of therapeutic hypothermia. Therapeutic hypothermia is a feasible treatment and can be used safely and effectively at emergency department and ICU setting.
