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Therapeutic hypothermia for cardiac arrest: A practical approach

  • David B. Seder
  • Salam Jarrah
Article

Abstract

Therapeutic hypothermia (TH), which prevents and ameliorates the cascade of secondary neurologic injury after the return of spontaneous circulation, is the most effective neuroprotective therapy for encephalopathic survivors of cardiac arrest. Acute management of patients with severe hypoxic-ischemic encephalopathy requires rapid and well-coordinated efforts involving emergency medicine, neurology, cardiology, critical care medicine, and palliative care. This effort is complex, and broad implementation of TH has been slow in the United States and Europe. This review summarizes recent developments in the practical application of TH, reviews the role of the neurologist, and suggests an algorithm for coordination of care of cardiac arrest survivors by physicians of divergent subspecialties, with the goals of maximizing neurologic and cardiac recovery.

Keywords

Cardiac Arrest Dexmedetomidine Therapeutic Hypothermia Mild Therapeutic Hypothermia Cardiac Arrest Patient 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Current Medicine Group LLC 2008

Authors and Affiliations

  1. 1.Maine Medical CenterDivision of Pulmonary and Critical Care MedicinePortlandUSA

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