Specialist Registrar in Anaesthesia and Intensive Care, Bristol Royal Infirmary, Bristol, UK.
Anaesthesia. 2010 Mar;65(3):260-5. doi: 10.1111/j.1365-2044.2009.06227.x. Epub 2010 Jan 16.
A telephone survey was carried out to determine how many United Kingdom intensive care units were using therapeutic hypothermia as part of their management of unconscious patients admitted after cardiac arrest. All 247 intensive care units listed in the 2008 Directory of Critical Care Services were contacted to determine how many units were using hypothermia as part of their post-cardiac arrest management and how it was implemented. We obtained information from 243 (98.4%) of the intensive care units. At the time of the study, 208 (85.6%) were using hypothermia as part of post-cardiac arrest management. There has been a steady increase annually in the number of units performing therapeutic cooling from 2003 to date, with the majority of units starting in 2007 or 2008. The International Liaison Committee on Resuscitation guidelines, which recommend the use of therapeutic hypothermia for comatose patients following successful resuscitation from cardiac arrest, have taken at least 4-5 years to achieve widespread implementation in the United Kingdom.
一项电话调查旨在确定有多少英国重症监护病房将治疗性低温作为心脏骤停后无意识患者管理的一部分。联系了 2008 年重症监护服务目录中列出的所有 247 个重症监护病房，以确定有多少病房将低温作为心脏骤停后管理的一部分，并了解其实施情况。我们从 243 个（98.4%）重症监护病房获得了信息。在研究时，208 个（85.6%）病房将低温作为心脏骤停后管理的一部分。自 2003 年以来，每年进行治疗性冷却的单位数量稳步增加，大多数单位于 2007 年或 2008 年开始。国际复苏联合会指南建议对心脏骤停后昏迷的患者使用治疗性低温，该指南至少需要 4-5 年才能在英国广泛实施。
