무수축 또는 무맥성 전기활동 심정지에서 경도 저체온 요법의 의의 = The Effect of Mild Therapeutic Hypothermia on the non-Vf Cardiac arrest

다국어 초록 (Multilingual Abstract)

Purpose: Therapeutic hypothermia has been recommended
for postcardiac arrest coma due to ventricular fibrillation
(Vf). However, although it is well known that the cardiac
arrest due to non-Vf is associated with poorer neurologic
outcome that Vf, there is no study that evaluates the effect
of mild hypothermia on the cardiac arrests due to non-Vf.
So, we intend whether mild hypothermia would improve the
neurologic outcome of them saftly.
Methods: We retrospectively analyzed the patients with
cardiac arrest due to asystole or pulseless electrical activity
who was presented at hopsital and successfully showed
the return of spontaneous circulation. We divided the
patients to two groups according to implementation of
hypothermia and statistically compared the complication
and neurologic outcome at discharge.
Results: A total of sixty one patients were analyzed in this
study. Baseline clinical and physiological characteristic were
similar between patients treated with mild hypothermia or
with conservative treatment. The complication rate did not
differ significantly between the two groups. However, the
good outcome at hospital discharge was observed in 13 of
41 patients treated with mild hypothermia compared with 0
of 27 patients treated with conservative treatment.
Conclusion: Mild therapeutic hypothermia for the treatment
of postcardiac arrest due to non-Vf can be saftly implemented
with a major benefit on patient outcome.

참고문헌 (Reference)

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