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عمومی::
هیپوترمی درمانی
Is Therapeutic Hypothermia Beneficial for Out-of-Hospital Cardiac Arrest?
Over the past decade, mild therapeutic hypothermia (TH) to 32-34 °C for 12-24 h has been utilized in VF OHCA, especially after two landmark studies in 2002 showed an increased rate of favorable neurological outcome [4, 5] and a reduction in mortality [5].
For these reasons, TH was recommended by international resusci- tation guidelines, and its use has been extended to all victims of cardiac arrest, regardless of the shockability of initial rhythm or whether the arrest was in or out of the hospital.
In a recent multicenter trial, TH did not improve survival or neurological outcome [10], casting some doubt on earlier studies.
17.2.1 Randomized Trials for TH in OHCA with Shockable Rhythms
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