History and current use of mild therapeutic hypothermia after cardiac arrest.
In spite of many years of development and implementation of pre-hospital advanced life support programmes, the survival rate of out-of-hospital cardiac arrest (OHCA) used to be very poor. Neurologic injury from cerebral hypoxia is the most common cause of death in patients with OHCA. In the past two decades, post-resuscitation care has developed many new concepts aimed at improving the neurological outcome and survival rate of patients after cardiac arrest. Systematic post-cardiac arrest care after the return of spontaneous circulation, including induced mild therapeutic hypothermia (TH) in selected patients, is aimed at significantly improving rates of long-term neurologically intact survival. This review summarises the history and current knowledge in the field of mild TH after OHCA.
Department of Cardiology, 2 Medical School, Charles University, University Hospital Motol, Prague, Czech Republic.
Jiří
J
Bonaventura
Department of Cardiology, 2 Medical School, Charles University, University Hospital Motol, Prague, Czech Republic.
David
D
Alan
Department of Cardiology, 2 Medical School, Charles University, University Hospital Motol, Prague, Czech Republic.
Jiri
J
Vejvoda
Department of Cardiology, 2 Medical School, Charles University, University Hospital Motol, Prague, Czech Republic.
Jakub
J
Honek
Department of Cardiology, 2 Medical School, Charles University, University Hospital Motol, Prague, Czech Republic.
Josef
J
Veselka
cardiopulmonary resuscitation; intravascular cooling; post-resuscitation care; survival rate
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