Is faster still better in therapeutic hypothermia?
Department of Emergency Medicine, Queen's University, Kingston, ON K7L 2V6, Canada
Critical Care 2011, 15:162 doi:10.1186/cc10234
See related research by Haugk et al., http://ccforum.com/content/15/2/R101 and related commentary by Lyon, http://ccforum.com/content/15/2/151Published: 1 June 2011
The rapid institution of therapeutic hypothermia after cardiac arrest has become an accepted practice. In the previous issue of Critical Care, Haugk and colleagues present a retrospective analysis of 13 years of experience with therapeutic hypothermia at their center that suggests an association between rate of cooling and less favorable neurological outcomes. The association most likely reflects easier cooling in patients more severely brain injured by their initial cardiac arrest, and should not lead clinicians to abandon or slow their efforts to achieve post-resuscitative cooling.