SGEM#391: Is it Time for a Cool Change (Hypothermia After In-Hospital Cardiac Arrest)?

Essais extraits du podcast de Dr. Ken Milne

• 2022HACA-IHCAEmergency & ResuscitationIn 249 comatose adults resuscitated after in-hospital cardiac arrest, hypothermia at 32-34°C did not reduce 180-day mortality compared with normothermia.
• 2002HACAEmergency & ResuscitationIn 275 comatose adults resuscitated from ventricular-fibrillation arrest, 24 h of hypothermia improved 6-month neurologic outcome compared with normothermia.
• 2002Induced Hypothermia in Comatose Survivors of Out-of-Hospital Cardiac ArrestEmergency & ResuscitationIn 77 comatose survivors of out-of-hospital VF arrest, induced hypothermia improved good neurologic outcome at discharge compared with normothermia
• 2013TTMEmergency & ResuscitationIn 950 comatose adults after out-of-hospital cardiac arrest, cooling to 33°C did not reduce death or poor neurologic outcome compared with 36°C
• 2021TTM2Emergency & ResuscitationIn1900 comatose adults after out-of-hospital cardiac arrest,targeted hypothermia at 33°Cdid not reduce6-month death or poor functional outcomecompared withtargeted normothermia.
• 2019HYPERIONEmergency & ResuscitationIn 581 comatose adults after nonshockable cardiac arrest, hypothermia at 33°C improved survival with good neurologic outcome compared with targeted normothermia.