After successful relief of ventricular fibrillation, shown therapeutic hypothermia

After successful relief of ventricular fibrillation, shown therapeutic hypothermiaAdult patients who continue to remain unconscious after a successful edema ventricular fibrillation, shown therapeutic hypothermia. This writes the working group of the International joint Committee on Resuscitation in the production of Circulation for July 8. At the same time, scientists do not recommend the use of hypothermia in people who have had severe cardiogenic shock, jizneugrojath fibrillation and in patients with primary coagulopathy and pregnant. The basis of the new recommendations on the results of two randomized prospective trials. First performed in 9 centers in Europe, consisted of 136 people in the hypothermia group and 137 in the group normothermia. The second included, respectively, 43 and 34 people and was conducted in 4 hospitals of Australia. In both studies showed improvement of neurological prognosis and survival in groups of hypothermia. "Although hypothermia takes at least 8 hours, its effectiveness justifies all the time", I'm sure Dr. Terry L. Vanden Hoek from the University of Chicago. In his opinion, the cooling should be started as soon as possible after the restoration of blood flow. Only after 12-24 h of hypothermia can gradually move to normothermia. Prevention of muscle shivering serve neuro-muscular blockade and sedation. Remember that hypothermia may increase the risk of pneumonia, bleeding and sepsis. Thrombolytic therapy is not a contraindication for hypothermia. "The main task of the physician as quickly as possible to identify patients who hypothermia shown, and use a really effective treatment protocols," said Dr. Vanden Hoek. He and his colleagues continue to seek new methods of induction of hypothermia. (Circulation 2003;108:118-21.).

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