Targeted temperature management in emergency medicine: current perspectives
Benton R Hunter,1 Timothy J Ellender1,2 1Department of Emergency Medicine, 2Department of Critical Care Medicine, Indiana University School of Medicine, Indiana University, Indianapolis, IN, USA Abstract: Landmark trials in 2002 showed that therapeutic hypothermia (TH) after out-of-hospital cardiac...
Main Authors: | , |
---|---|
Format: | Article |
Language: | English |
Published: |
Dove Medical Press
2015-09-01
|
Series: | Open Access Emergency Medicine |
Online Access: | https://www.dovepress.com/targeted-temperature-management-in-emergency-medicine-current-perspect-peer-reviewed-article-OAEM |
_version_ | 1828883682400665600 |
---|---|
author | Hunter BR Ellender TJ |
author_facet | Hunter BR Ellender TJ |
author_sort | Hunter BR |
collection | DOAJ |
description | Benton R Hunter,1 Timothy J Ellender1,2 1Department of Emergency Medicine, 2Department of Critical Care Medicine, Indiana University School of Medicine, Indiana University, Indianapolis, IN, USA Abstract: Landmark trials in 2002 showed that therapeutic hypothermia (TH) after out-of-hospital cardiac arrest due to ventricular tachycardia or ventricular fibrillation resulted in improved likelihood of good neurologic recovery compared to standard care without TH. Since that time, TH has been frequently instituted in a wide range of cardiac arrest patients regardless of initial heart rhythm. Recent evidence has evaluated how, when, and to what degree TH should be instituted in cardiac arrest victims. We outline early evidence, as well as recent trials, regarding the use of TH or targeted temperature management in these patients. We also provide evidence-based suggestions for the institution of targeted temperature management/TH in a variety of emergency medicine settings. Keywords: therapeutic hypothermia, cardiac arrest, heart arrest |
first_indexed | 2024-12-13T10:53:04Z |
format | Article |
id | doaj.art-a8e0be599b3840f2865a0fb904f2ae26 |
institution | Directory Open Access Journal |
issn | 1179-1500 |
language | English |
last_indexed | 2024-12-13T10:53:04Z |
publishDate | 2015-09-01 |
publisher | Dove Medical Press |
record_format | Article |
series | Open Access Emergency Medicine |
spelling | doaj.art-a8e0be599b3840f2865a0fb904f2ae262022-12-21T23:49:45ZengDove Medical PressOpen Access Emergency Medicine1179-15002015-09-012015default697723858Targeted temperature management in emergency medicine: current perspectivesHunter BREllender TJBenton R Hunter,1 Timothy J Ellender1,2 1Department of Emergency Medicine, 2Department of Critical Care Medicine, Indiana University School of Medicine, Indiana University, Indianapolis, IN, USA Abstract: Landmark trials in 2002 showed that therapeutic hypothermia (TH) after out-of-hospital cardiac arrest due to ventricular tachycardia or ventricular fibrillation resulted in improved likelihood of good neurologic recovery compared to standard care without TH. Since that time, TH has been frequently instituted in a wide range of cardiac arrest patients regardless of initial heart rhythm. Recent evidence has evaluated how, when, and to what degree TH should be instituted in cardiac arrest victims. We outline early evidence, as well as recent trials, regarding the use of TH or targeted temperature management in these patients. We also provide evidence-based suggestions for the institution of targeted temperature management/TH in a variety of emergency medicine settings. Keywords: therapeutic hypothermia, cardiac arrest, heart arresthttps://www.dovepress.com/targeted-temperature-management-in-emergency-medicine-current-perspect-peer-reviewed-article-OAEM |
spellingShingle | Hunter BR Ellender TJ Targeted temperature management in emergency medicine: current perspectives Open Access Emergency Medicine |
title | Targeted temperature management in emergency medicine: current perspectives |
title_full | Targeted temperature management in emergency medicine: current perspectives |
title_fullStr | Targeted temperature management in emergency medicine: current perspectives |
title_full_unstemmed | Targeted temperature management in emergency medicine: current perspectives |
title_short | Targeted temperature management in emergency medicine: current perspectives |
title_sort | targeted temperature management in emergency medicine current perspectives |
url | https://www.dovepress.com/targeted-temperature-management-in-emergency-medicine-current-perspect-peer-reviewed-article-OAEM |
work_keys_str_mv | AT hunterbr targetedtemperaturemanagementinemergencymedicinecurrentperspectives AT ellendertj targetedtemperaturemanagementinemergencymedicinecurrentperspectives |