Into the age of reanimation: promise and challenge in cardiac arrest care

Autor: Jonathon M. Sullivan, Brian J. O'Neil
Rok vydání: 2011
Předmět:
Zdroj: Therapy. 8:673-675
ISSN: 1744-831X
1475-0708
DOI: 10.2217/thy.11.73
Popis: Recent advances in cardiac arrest resuscitation, especially therapeutic hypothermia, have begun a paradigm shift in our approach to these patients, as underscored in the recent International Liaison Committee on Resuscitation guidelines [1]. The prospect of improved survival from cardiac arrest presents new clinical, scientific, political and ethical challenges. Foremost among these are the development and material support of effective clinical protocols, the funding and conduct of research to build upon recent advances, the re-evaluation of more intensive or invasive reperfusion strategies, and deciding which patients are likely (or not) to derive benefit from aggressive cardiocerebral resuscitation and post-resuscitation care. The approach to these problems mandates a constructive dialogue between clinicians, scientists, policymakers and the general public. In this issue of Therapy, Sasson et al. provide a summary of the 2010 International Liaison Committee on Resuscitation guidelines [1]. The recommendations of the committee reflect dramatic changes in the approach to cardiac arrest and resuscitation, a paradigm shift that will have profound implications for clinical practice, research, healthcare economics and medical ethics. While recent advances in cardiac arrest resuscitation are cause for optimism, they present extraordinary challenges to providers, scientists, hospitals and the general public.
Databáze: OpenAIRE