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Therapeutic Hypothermia after Out-of-Hospital Cardiac Arrest in Children
Ist Teil von
The New England journal of medicine, 2015-05, Vol.372 (20), p.1898-1908
Ort / Verlag
United States: Massachusetts Medical Society
Erscheinungsjahr
2015
Quelle
MEDLINE
Beschreibungen/Notizen
This study of targeted temperature interventions in 295 children who were comatose after cardiac arrest showed no significant difference between the hypothermia group (33.0°C) and the normothermia group (36.8°C) with respect to 1-year survival with a good functional outcome.
Out-of-hospital cardiac arrest in children often results in death or in poor long-term functional outcome in survivors.
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In 2002, two trials involving adults showed that therapeutic hypothermia improved neurologic outcomes in comatose survivors after out-of-hospital cardiac arrest with ventricular fibrillation or ventricular tachycardia.
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International guidelines recommend therapeutic hypothermia for adults with out-of-hospital cardiac arrest who have similar characteristics.
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Recently, another trial involving adults after out-of-hospital cardiac arrest showed that therapeutic hypothermia with the use of a target temperature of 33°C, as compared with actively maintained therapeutic normothermia (36°C), did not improve outcomes.
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The fundamental difference between this . . .