日本医科大学医学会雑誌
Online ISSN : 1880-2877
Print ISSN : 1349-8975
ISSN-L : 1349-8975
4 巻 , 3 号
選択された号の論文の5件中1~5を表示しています
グラビア
シリーズ カラーアトラス
臨床医のために
  • 横田 裕行
    2008 年 4 巻 3 号 p. 143-147
    発行日: 2008年
    公開日: 2008/07/22
    ジャーナル フリー
    The introduction of the 2005 American Heart Association Guidelines for Cardiopulmonary resuscitation, emergency care, and public access defibrillation (PAD) has improved the survival rate of patients with cardiopulmonary arrest in Japan. And as for the brain resuscitation, 2 randomized clinical trials explored that induced hypothermia improved outcomes in adults with coma after resuscitation from ventricular fibrillation. Another study also demonstrated improvement of patients' outcome after cardiac arrest with pulseless electrical activity or asystole. In our department, the indications for hypothermia in patients after the recovery of spontaneous circulation are: 1) witnessed arrest, 2) age 15 to 70 years, and 3) stable vital signs. Our series suggests that the outcome of patients with hypothermia after the recovery of spontaneous circulation is better than that of patients without hypothermia. The concept of brain resuscitation is extremely important for favorable outcomes after the resuscitation from cardiac arrest. And in the future the introduction of percutaneous cardiopulmonary support and of hypothermia to resuscitate the brain may help improve the outcomes of patients with cardiac arrest.
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