Hypothermia treatment post cardiac arrest
[DOC File]jacobiem.org
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The Hypothermia after Cardiac Arrest Study Group performed a multicenter, randomized, controlled trial to compare moderate hypothermia to normothermia after out-of-hospital cardiac arrest (9). All patients had ventricular fibrillation or non-perfusing ventricular tachycardia as the first recorded rhythm.
[DOC File]INDICATIONS
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Hypothermia After Cardiac Arrest Study Group. Mild therapeutic hypothermia to improve the neurologic outcome after cardiac arrest. N Engl J Med. 2002 Feb 21;346(8):549-56. Based on initial versions of: Carolinas Medical Center Therapeutic Hypothermia After …
[DOCX File]Therapeutic Hypothermia
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Brain temperature during the first 24 hours after resuscitation from cardiac arrest has a large effect on survival and neurological recovery. Cooling to 32-34°C for 24 hours decreases chance of death (OR 0.74 [0.58,0.95]) and increases chance of good neurological recovery (OR 1.40 [1.08,1.81]) (HACA., NEJM 346: 549-556, 2002).
[DOCX File]MECHANICAL VENTILATION WEANING PROTOCOL FOR …
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The Hypothermia after Cardiac Arrest Study Group showed that, when applied to unconscious out-of-hospital cardiac arrest patients with ROSC (n=274), mild hypothermia (cooling to 32-34ºC) provided significant improvement in functional recovery at hospital discharge (55% vs 39%; number needed to treat [NNT] = 6) and lower 6-month mortality rate ...
[DOC File]UCMC Hypothermia after Cardiac Arrest Protocol
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post-cardiac arrest hypothermia protocol for critical care patients at walter reed national military medical center SUBJECT: Poor neurological outcome is common after cardiac arrest. Experimental and animal studies indicate that therapeutic hypothermia may inhibit many of the damaging chemical reactions that follow cerebral anoxia.
Post Cardiac Arrest Hypothermia | Orange Regional Medical Center
Defer withdrawal of care decisions until at least 48 hours post-arrest when appropriate. Neurological stunning lasts 24-72 hours. “Withdrawal of Life Sustaining Treatment” is a leading cause of death following cardiac arrest. Assessments of futility should weigh pre-arrest life expectancy more than neuro status at 24 hours.
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