tailieunhanh - Báo cáo y học: " Neurological prognostication after cardiac arrest"

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: Neurological prognostication after cardiac arrest | Scandinavian Journal of Trauma Resuscitation and Emergency Medicine BioMed Central Commentary Neurological prognostication after cardiac arrest Hans Friberg Address Department of Anesthesiology and Intensive Care Lund University Hospital Sweden Email Hans Friberg - Open Access Published 15 September 2008 Received 25 August 2008 z __ __ __J Accepted 15 September 2008 Scandinavian Journal of Trauma Resuscitation and Emergency Medicine 2008 16 10 doi l757-724l-l6-l0 This article is available from http content l6Zl l0 2008 Friberg 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. The care of the comatose cardiac arrest patient and his her relatives in the ICU constitutes a major challenge for intensivists. Out-of-hospital cardiac arrest OHCA affects more than Europeans yearly survival rates are disturbingly low and have until recently remained unchanged 1 . During the last several years significant efforts have been made to improve the quality of prehospital care with a focus on more effective chest compressions. Postresuscitation care in the hospital was long ago identified as the missing link in the chain of survival but a change in provision of care has occurred as illustrated by the national Norwegian survey published in the Scandinavian Journal of Trauma Resuscitation and Emergency Medicine 2 . Three years have passed since the telephone survey but 80 of the hospitals in Norway had already introduced routine therapeutic hypothermia TH at that time. Today almost every emergency hospital in all of Scandinavia routinely treats comatose cardiac arrest patients of cardiac origin with TH and many have implemented a standardised treatment protocol .