tailieunhanh - Báo cáo y học: "Prognostication after out-of-hospital cardiac arrest, a clinical survey"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài: Prognostication after out-of-hospital cardiac arrest, a clinical survey | Scandinavian Journal of Trauma Resuscitation and Emergency Medicine BioMed Central Open Access Original research Prognostication after out-of-hospital cardiac arrest a clinical survey Michael Busch and Eldar Soreide Address Dept. of Anaesthesiology and Intensive Care Stavanger University Hospital Postboks 8100 4068 Stavanger Norway Email Michael Busch - bumi@ Eldar Soreide - soed@ Corresponding author Published 15 September 2008 Received 2 July 2008 __ .ZT_ TH I I O Accepted 15 September 2008 Scandinavian Journal of Trauma Resuscitation and Emergency Medicine 2008 16 9 doi 1757-7241-16-9 This article is available from http content 16 1Z9 2008 Busch and Soreide licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Background Numerous parameters and tests have been proposed for outcome prediction in comatose out-of-hospital cardiac arrest survivors. We conducted a survey of clinical practice of prognostication after therapeutic hypothermia TH became common practice in Norway. Methods By telephone we interviewed the consultants who were in charge of the 25 ICUs admitting cardiac patients using 6 structured questions regarding timing tests used and medical specialties involved in prognostication as well as the clinical importance of the different parameters used and the application of TH in these patients. Results Prognostication was conducted within 24-48 hours in the majority 72 of the participating ICUs. The most commonly applied parameters and tests were a clinical neurological examination 100 prehospital data 76 CCT 56 and EEG 52 . The parameters and tests considered to be of greatest importance for accurate prognostication were .

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