Post resuscitation care - What are the therapeutic alternatives and what do we know?
(2006) In Resuscitation 69(1). p.15-22- Abstract
- A large proportion of deaths in the Western World are caused by ischaemic heart disease. Among these patients a majority die outside hospital due to sudden cardiac death. The prognosis among these patients is in general, poor. However, a significant proportion are admitted to a hospital ward alive. The proportion of patients who survive the hospital phase of an out of hospital cardiac arrest varies considerably. Several treatment strategies are applicable during the post resuscitation care phase, but the level of evidence is weak for most of them. Four treatments are recommended for selected patients based on relatively good clinical evidence: therapeutic hypothermia, beta-blockers, coronary artery bypass grafting, and an implantable... (More)
- A large proportion of deaths in the Western World are caused by ischaemic heart disease. Among these patients a majority die outside hospital due to sudden cardiac death. The prognosis among these patients is in general, poor. However, a significant proportion are admitted to a hospital ward alive. The proportion of patients who survive the hospital phase of an out of hospital cardiac arrest varies considerably. Several treatment strategies are applicable during the post resuscitation care phase, but the level of evidence is weak for most of them. Four treatments are recommended for selected patients based on relatively good clinical evidence: therapeutic hypothermia, beta-blockers, coronary artery bypass grafting, and an implantable cardioverter defibrillator. The patient's cerebral function might influence implementation of the latter two alternatives. There is some evidence for revascutarisation treatment in patients with suspected myocardial infarction. On pathophysiological grounds, an early coronary angiogram is a reasonable alternative. Further randomised clinical trials of other post resuscitation therapies are essential. (c) 2005 Elsevier Ireland Ltd. All rights reserved. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/410240
- author
- Herlitz, J ; Castren, M ; Friberg, Hans LU ; Nolan, J ; Skrifvars, M ; Sunde, K and Steene, PA
- organization
- publishing date
- 2006
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- cardiac arrest, treatment, post resuscitation
- in
- Resuscitation
- volume
- 69
- issue
- 1
- pages
- 15 - 22
- publisher
- Elsevier
- external identifiers
-
- wos:000237208700003
- scopus:33645879246
- ISSN
- 1873-1570
- DOI
- 10.1016/j.resuscitation.2005.08.006
- language
- English
- LU publication?
- yes
- id
- 2df8b317-04d2-441f-9624-694d9e103400 (old id 410240)
- date added to LUP
- 2016-04-01 12:06:00
- date last changed
- 2022-02-03 17:33:44
@article{2df8b317-04d2-441f-9624-694d9e103400,
abstract = {{A large proportion of deaths in the Western World are caused by ischaemic heart disease. Among these patients a majority die outside hospital due to sudden cardiac death. The prognosis among these patients is in general, poor. However, a significant proportion are admitted to a hospital ward alive. The proportion of patients who survive the hospital phase of an out of hospital cardiac arrest varies considerably. Several treatment strategies are applicable during the post resuscitation care phase, but the level of evidence is weak for most of them. Four treatments are recommended for selected patients based on relatively good clinical evidence: therapeutic hypothermia, beta-blockers, coronary artery bypass grafting, and an implantable cardioverter defibrillator. The patient's cerebral function might influence implementation of the latter two alternatives. There is some evidence for revascutarisation treatment in patients with suspected myocardial infarction. On pathophysiological grounds, an early coronary angiogram is a reasonable alternative. Further randomised clinical trials of other post resuscitation therapies are essential. (c) 2005 Elsevier Ireland Ltd. All rights reserved.}},
author = {{Herlitz, J and Castren, M and Friberg, Hans and Nolan, J and Skrifvars, M and Sunde, K and Steene, PA}},
issn = {{1873-1570}},
keywords = {{cardiac arrest; treatment; post resuscitation}},
language = {{eng}},
number = {{1}},
pages = {{15--22}},
publisher = {{Elsevier}},
series = {{Resuscitation}},
title = {{Post resuscitation care - What are the therapeutic alternatives and what do we know?}},
url = {{http://dx.doi.org/10.1016/j.resuscitation.2005.08.006}},
doi = {{10.1016/j.resuscitation.2005.08.006}},
volume = {{69}},
year = {{2006}},
}