It also important to mention that for low-volume centers that do not see large numbers of post-arrest patients, 36°C may be an easier and equally effective option, without the difficulty of managing all the potential complications of hypothermia.
Explore This Issue
ACEP Now: Vol 33 – No 10 – October 2014
Dr. Weingart is an ED intensivist. This column is a distillation of the best material from the EMCrit Blog and Podcast (http://emcrit.org).
Dr. Cox is a resident in emergency medicine at the Icahn School of Medicine at Mount Sinai in New York City.
References
- Nielsen N, Wetterslev J, Cronberg T, et al. Targeted temperature management at 33°C versus 36°C after cardiac arrest. N Engl J Med. 2013;369:2197-2206.
- Benson DW, Williams GR Jr, Spencer FC, Yates AJ. The use of hypothermia after cardiac arrest. Anesth Analg. 1959;38:423-428.
- Bernard SA, Gray TW, Buist MD, et al. Treatment of comatose survivors of out-of-hospital cardiac arrest with induced hypothermia. N Engl J Med. 2002;346:557-563.
- The Hypothermia After Cardiac Arrest Study Group. Mild therapeutic hypothermia to improve neurologic outcome after cardiac arrest. N Engl J Med. 2002;346:549-556.
- Kim YM, Yim HW, Jeong SH, Klem ML, Callaway CW. Does therapeutic hypothermia benefit adult cardiac arrest patients presenting with non-shockable rhythms? A systematic review and meta-analysis of randomized and non-randomized studies. Resusitation. 2012;83:188-196.
- Arrich J, Holzer M, Herkner H, Müllner M. Hypothermia for neuroprotection in adults after cardiopulmonary resuscitation. Cochrane Database Syst Rev. 2009;(4):CD004128.
- Bernard S. Post-cardiac arrest care in 2013 with Stephen Bernard. EMCRIT Podcast. 2013. Available at http://emcrit.org/podcasts/post-arrest-care-2013-i/.
- Polderman KH, Varon J. We should not abandon therapeutic cooling after cardiac arrest. Crit Care. 2014;18:130.
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One Response to “Research on Therapeutic Hypothermia for Post-Arrest Patients Helps Refine Temperature-Management Strategies”
October 26, 2014
ekulstadFunny that despite the beautifully articulated analysis, even the headline in the ACEP eNow mailing sorta gets it wrong: “ADVANCES IN ED CRITICAL CARE – Chill on Therapeutic Hypothermia?”