Published in:
01-05-2013 | Editorial
To cool or not to cool non-shockable cardiac arrest patients: it is time for randomized controlled trials
Authors:
Nicolas Deye, Jasmin Arrich, Alain Cariou
Published in:
Intensive Care Medicine
|
Issue 5/2013
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Excerpt
Based on remarkable effects mostly observed in shockable patients, therapeutic hypothermia (TH) has been widely proposed for comatose patients after cardiac arrest (CA) [
1]. Although used in patients who have been resuscitated from a non-shockable out-of-hospital CA (OHCA), there are no large randomized controlled trials (RCTs) evaluating the clinical impact of TH in this situation. As a result, the use of TH in OHCA patients with a non-shockable rhythm is still controversial, as reflected by the discrepancy between practice, recommendations and expert opinion [
1,
2]. …