tailieunhanh - Báo cáo y học: "Implementing the International Liaison Committee on Resuscitation guidelines on hypothermia after cardiac arrest. The German experience: still a long way to go"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care cung cấp cho các bạn kiến thức về ngành y đề tài: Implementing the International Liaison Committee on Resuscitation guidelines on hypothermia after cardiac arrest. The German experience: still a long way to go? | Available online http content 10 2 407 Letter Implementing the International Liaison Committee on Resuscitation guidelines on hypothermia after cardiac arrest. The German experience still a long way to go Michael Sander Christian von Heymann and Claudia Spies Department of Anaesthesiology and Intensive Care Medicine Charité Universitatmedizin Berlin Germany Corresponding author Prof Claudia D Spies Published 5 April 2006 Critical Care 2006 10 407 doi cc4882 This article is online at http content 10 2 407 2006 BioMed Central Ltd Two prospective randomised landmark trials were recently published comparing mild hypothermia for 12-24 hours with normothermia in comatose patients who had survived out-ofhospital cardiac arrest 1 2 . In 2003 the International Liaison Committee on Resuscitation ALS Task Force published the following recommendations 3 on the basis of the aforementioned evidence unconscious adult patients with spontaneous circulation after out-of-hospital cardiac arrest should be cooled to 32-34 C for 12-24 hours when the initial rhythm was ventricular fibrillation and such cooling may also be beneficial for other rhythms or inhospital cardiac arrest. Recent evidence however suggests that the implementation of guidelines and scientific evidence in clinical routine is very difficult. This fact is circumstantiated by a recently published study reporting a wide variation in the management of acute respiratory distress syndrome that appears to be related to limited awareness of relevant research and adherence to local practice patterns 4 . We therefore conducted a telephone survey to address the implementation of the International Liaison Committee on Resuscitation guidelines in anesthesiological intensive care units in Germany in spring 2005. We either called the head of the department or the head of the intensive care unit of all 39 university hospital departments of anesthesiology and intensive care .