• Am J Emerg Med · Nov 2022

    Review

    Recent developments and controversies in therapeutic hypothermia after cardiopulmonary resuscitation: A narrative review.

    • Peijuan Li, Zhangping Sun, Tian Tian, Dongping Yu, Hui Tian, and Ping Gong.
    • Department of Emergency, First Affiliated Hospital of Dalian Medical University, Dalian, Liaoning, China; Dalian Medical University, Dalian, Liaoning, China.
    • Am J Emerg Med. 2022 Nov 12; 64: 171-7.

    AbstractTherapeutic hypothermia was recommended as the only neuroprotective treatment in comatose patients after return of spontaneous circulation (ROSC). With new evidence suggesting a similar neuroprotective effect of 36 °C and 33 °C, the term "therapeutic hypothermia" was substituted by "targeted temperature management" in 2011, which in turn was replaced by the term "temperature control" in 2022 because of new evidence of the similar effects of target normothermia and 33 °C. However, there is no clear consensus on the efficacy of therapeutic hypothermia. In this article, we provide an overview of the recent evidence from basic and clinical research related to therapeutic hypothermia and re-evaluate its application as a post-ROSC neuroprotective intervention in clinical settings.Copyright © 2022 Elsevier Inc. All rights reserved.

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