Is Hypothermia After Cardiac Arrest Effective in Both Shockable and Nonshockable Patients?
Author(s) -
Florence Dumas,
David Grimaldi,
Benjamin Zuber,
Jérôme Fichet,
Julien Charpentier,
Frédéric Pène,
Benoît Vivien,
Olivier Varenne,
Pierre Carli,
Xavier Jouven,
JeanPhilippe Empana,
Alain Cariou
Publication year - 2011
Publication title -
circulation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 7.795
H-Index - 607
eISSN - 1524-4539
pISSN - 0009-7322
DOI - 10.1161/circulationaha.110.987347
Subject(s) - asystole , medicine , ventricular fibrillation , pulseless electrical activity , odds ratio , hypothermia , confidence interval , cardiopulmonary resuscitation , cardiology , resuscitation , anesthesia
Although the level of evidence of improvement is significant in cardiac arrest patients resuscitated from a shockable rhythm (ventricular fibrillation or pulseless ventricular tachycardia [VF/Vt]), the use of therapeutic mild hypothermia (TMH) is more controversial in nonshockable patients (pulseless electric activity or asystole [PEA/asystole]). We therefore assessed the prognostic value of hypothermia for neurological outcome at hospital discharge according to first-recorded cardiac rhythm in a large cohort.
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