Cardiac arrest does not equal to death
MissG
Posts: 7,403
Cardiac arrest
Therapeutic hypothermia is a medical treatment that lowers a patient's body temperature in order to help reduce the risk of the ischemic injury to tissue following a period of insufficient blood flow.
The data concerning hypothermia’s neuroprotectant qualities following cardiac arrest can be best summarized by two studies published in the New England Journal Medicine. The first of these studies conducted in Europe focused on people who were resuscitated 5–15 minutes after collapse. Patients participating in this study experienced spontaneous return of circulation (ROSC) after an median time of 22 minutes (normothermia group) and 21 minutes (hypothermia group). Hypothermia was initiated within 105 minutes after ROSC. Subjects were then cooled over a 24 hour period, with a target temperature of 32–34 °C (90–93 °F). 55% of the 137 patients in the hypothermia group experienced favorable outcomes, compared with only 39% in the group that received standard care following resuscitation.[2] Notably, complications between the two groups did not differ substantially. This data was supported by another similarly run study that took place simultaneously in Australia. In this study 49% of the patients treated with hypothermia following cardiac arrest experienced good outcomes, compared to only 26% of those who received standard care.[6]
One report suggests that fewer than 10% of the 300,000 Americans who suffer cardiac arrest each year survive "long enough to leave the hospital" despite increased use of such measures as "faster emergency squads, deployment of automated defibrillators at airports and other public places, and improvements in cardiopulmonary resuscitation techniques."[1] But of 140 patients since 2006 treated at the Minneapolis Heart Institute, 52% have survived by using therapeutic hypothermia.[1]
Research on induced hypothermia in patients who have had out-of-hospital cardiac arrest is just now being published in nursing journals
Please, read the Case Report
<!-- m -->http://ccn.aacnjournals.org/cgi/content/full/27/5/36<!-- m -->
[youtube:17rn73mz]
[youtube:17rn73mz]
[youtube:17rn73mz]
Therapeutic hypothermia is a medical treatment that lowers a patient's body temperature in order to help reduce the risk of the ischemic injury to tissue following a period of insufficient blood flow.
The data concerning hypothermia’s neuroprotectant qualities following cardiac arrest can be best summarized by two studies published in the New England Journal Medicine. The first of these studies conducted in Europe focused on people who were resuscitated 5–15 minutes after collapse. Patients participating in this study experienced spontaneous return of circulation (ROSC) after an median time of 22 minutes (normothermia group) and 21 minutes (hypothermia group). Hypothermia was initiated within 105 minutes after ROSC. Subjects were then cooled over a 24 hour period, with a target temperature of 32–34 °C (90–93 °F). 55% of the 137 patients in the hypothermia group experienced favorable outcomes, compared with only 39% in the group that received standard care following resuscitation.[2] Notably, complications between the two groups did not differ substantially. This data was supported by another similarly run study that took place simultaneously in Australia. In this study 49% of the patients treated with hypothermia following cardiac arrest experienced good outcomes, compared to only 26% of those who received standard care.[6]
One report suggests that fewer than 10% of the 300,000 Americans who suffer cardiac arrest each year survive "long enough to leave the hospital" despite increased use of such measures as "faster emergency squads, deployment of automated defibrillators at airports and other public places, and improvements in cardiopulmonary resuscitation techniques."[1] But of 140 patients since 2006 treated at the Minneapolis Heart Institute, 52% have survived by using therapeutic hypothermia.[1]
Research on induced hypothermia in patients who have had out-of-hospital cardiac arrest is just now being published in nursing journals
Please, read the Case Report
<!-- m -->http://ccn.aacnjournals.org/cgi/content/full/27/5/36<!-- m -->
[youtube:17rn73mz]
[youtube:17rn73mz]
[youtube:17rn73mz]