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Downloaded from https://pdfs.journals.lww.com/jaapa by BhDMf5ePHKZxZb3ruX4b9cKfbT5h3bp+v9gTtSlrchDWvVTxyN8Hif2P/rPZfAxb8td684/2m6Qj/1S0ZObgiiKJ9vD64yNdY1wI1G/v4gN3ti1fujtTJsg5898WZFuC on 02/23/2019 On therapeutic hypothermia A lack of consensus Regarding “Understanding therapeutic hypothermia” The article “Understanding therapeutic hypothermia” (February 2017), I applaud authors Christian Yacono, received criticism for framing targeted temperature man- MHS, PA-C, and Stephanie Eider, MHS, PA-C, for agement as a therapy targeting a core body temperature their discussion of the life-altering intervention for of 32° C to 34° C rather than the more inclusive range of postcardiac arrest patients that continues to be unde- 32° C to 36° C. Although a section of the article addresses rused. the lack of consensus on an exact temperature goal in The authors noted that therapeutic hypothermia therapeutic hypothermia for patients after cardiac arrest, “involves the active cooling of a patient who is comatose the authors’ choice to defi ne targeted temperature manage- and has had a cardiac arrest to 32° C to 34° C” and that ment more narrowly has the potential to cause confusion. although the current recommended cooling temperature Perhaps some context can add clarity. is 32° C to 34° C, uncertainty remains on the goal tem- Sometimes a new therapeutic intervention becomes the perature. standard of medical practice like a crack
Journal of the American Academy of PAs – Wolters Kluwer Health
Published: Nov 1, 2018
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