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- W2397324166 abstract "The use of therapeutic hypothermia (TH) in clinical medicine is no longer a rarity. Since the modern inception of this technique by Fay in the 1940s, TH has been used for a variety of clinical scenarios. (1,2) TH has gained significant popularity as a brain-protection strategy in victims of sudden cardiac death in whom return of spontaneous circulation (ROSC) has been obtained with coma. (3) Nonetheless, many trials and case series have shown the advantageous effects of lowering the body’s core temperature in a variety of other clinical conditions including near-drowning, hypoxemic brain injury, traumatic brain injury, traumatic cardiac arrest, stroke, newborn hypoxic-ischemic encephalopathy, hepatic encephalopathy, bacterial meningitis, congestive heart failure, postoperative neonatal tachycardia, and the acute respiratory distress syndrome. (2,3) However, despite the well documented evidence of its therapeutic value, and the ease of implementation, TH is not used as much as the authors would envision for such a cardiopulmonary and cerebral cornerstone of advanced cardiac life support. (4) In this issue of Critical Care and Shock, two articles present encouraging data on the use of this therapeutic intervention in the context of cardiovascular conditions in two different countries. Palo and associates, report on their experience in a tertiary care center in the Philippines, utilizing TH within 6 hours of a cardiac arrest with successful return of spontaneous circulation (ROSC) and coma. (5) These investigators found a direct correlation between neurological outcome and the implementation of TH." @default.
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- W2397324166 date "2010-01-01" @default.
- W2397324166 modified "2023-09-27" @default.
- W2397324166 title "Therapeutic hypothermia in the year 2010: it is about time!" @default.
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