Critical Care and Shock

Therapeutic hypothermia after cardiac arrest in a Philippine tertiary hospital: a retrospective cohort study

A cardiac arrest is one of the most devastating events that can occur to a patient. Many attempts at resuscitation fail, but even with successful resuscitation, many patients die early from cardiac dysfunction, or later from neurologic dysfunction. (1,2) Comprehensive post-resuscitation care therefore aims to address the complex post-cardiac arrest syndrome and allow neurologically intact survival.
Therapeutic hypothermia (TH) was found to decrease mortality and improve neurologic outcome in initially comatose patients who had been resuscitated from cardiac arrest. (3-6) It has been recommended since 2005 by international consensus resuscitation guidelines to prevent or minimize neurologic complications, and has allowed