Examinando por Autor "Gamero Usca, Jose Luis"

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    Efficacy of prehospital therapeutic hypothermia in improving survival and neurological outcomes in patients with cardiac arrest
    (Universidad Privada Norbert Wiener, 2019-08-25) Gamero Usca, Jose Luis; Matta Solis, Hernán Hugo
    Objective: To systematically analyze the evidence regarding the effectiveness of pre-hospital therapeutic hypothermia to improve survival and neurological outcomes in patients with cardiac arrest. Material and methods: The present study is qualitative with a study design of a systematic review of 10 scientific articles on the effectiveness of prehospital therapeutic hypothermia to improve survival and neurological outcomes in patients with cardiac arrest. These articles were analyzed according to the Grade system. to determine their strength and quality of evidence and were found in the following databases: PubMed, Sciencedirect, Scielo, Epistemonikos. Results: Of the 10 articles reviewed, it was concluded that only 20% point out the effectiveness of pre-hospital therapeutic hypothermia in post-cardiac arrest patients, which shows an improvement in survival with good neurological results of patients upon hospital discharge. On the other hand, 80% of the articles reviewed indicate a series of limitations. Conclusion: The articles reviewed point out that the evidence does not support the administration of pre-hospital therapeutic hypothermia to patients with cardiac arrest where optimal temperature was not achieved by pre-hospital hypothermia due to short transport time. and limited cold liquid.