Letter Re: Practice guideline summary: Reducing brain injury following cardiopulmonary resuscitation: Report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology
We read with interest the article by Geocadin et al.1 and found the conclusion of importance. Over the last 2 years, we observed a group of 32 patients treated with mild therapeutic hypothermia after an out-of-hospital nontraumatic cardiac arrest. When considering the effect of the cardiac arrest on the patients' subsequent outcomes in the short and middle term, a sharp difference between 2 conditions was observed. A cardiac arrest complicated by a not-shockable rhythm and a circulatory instability is usually accompanied by a worsening cerebral edema. These 2 signs, clearly connected to each other, are strong predictors of short survival and of poor neurologic outcome, independent from any treatment. On the contrary, in the case of cardiac arrest followed by a shockable rhythm, mild therapeutic hypothermia is directly indicated for the greater possibility of a good outcome.2–4 In these patients, any early invasive treatment of the acute cardiac pathology, or of any other intervening complication, is not contraindicated.
Objectives: To investigate the impact of normothermia on compliance with sepsis bundles and in-hospital mortality in patients with sepsis who present to emergency departments. Design(s): Retrospective multicenter observational study. Patient(s): Nineteen university-affiliated hospitals of the Korean Sepsis Alliance participated in this study. Data were collected regarding patients who visited emergency departments for sepsis during the 1-month period. The patients were divided into three groups based on their body temperature at the time of triage in the emergency department (i.e., hypothermia [ 38degreeC]). Intervention(s...
To date, targeted temperature management (TTM) is the only neuroprotective intervention after resuscitation from cardiac arrest that is recommended by guidelines. The evidence on the effects of TTM is unclear.
Publication date: Available online 6 October 2020Source: Case Reports in Women's HealthAuthor(s): James P. Hogg, Lorene Atkins Temming, Rebecca Pollack
Conditions: Knee Arthroplasty, Total; Hypothermia Intervention: Sponsor: Aga Khan University Completed
I sat outside my patient ’s ICU room, my eyes glancing from his chart to him and his wife. The picture was grim. My patient, Tom, was a 56-year-old man, severely ill from decompensated cirrhosis, was admitted for the third time in a month with hypothermia from sepsis. Despite antibiotic therapy, he was not improving . Now […]Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
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Condition: COVID19 ARDS Intervention: Other: Hypothermia Via Cooling Machine- Arctic Sun 5000 Sponsor: Northwell Health Recruiting