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Another consideration for hypothermic arrest is that most of those people are for the most part completely healthy when they go into arrest, other than the malignant hypothermia.
The subset of patients we are talking about are generally not healthy at all, and have had a MACE likely due to ACS. I see where you are going with your logic, but I think it is apples and oranges.
Hypothermia improves neurological outcomes. I don't know its effects (positive or negative) on the other organs, however reperfusion of the ischemic region of the heart is the definitive treatment for ACS, the most common cause of MACE in adults. While it can be combined safely with hypothermia, it is not for the benefit of the cardiac tissue.
If hypothermia decreases the incidence of ROSC, then the improvement in neurological status is irrelevant, as a healthy brain in a patient that we are unable to resuscitate is of no use. That's my thought process on it anyway.
This is a good discussion! I enjoy some lively, high minded conversation.
The subset of patients we are talking about are generally not healthy at all, and have had a MACE likely due to ACS. I see where you are going with your logic, but I think it is apples and oranges.
Hypothermia improves neurological outcomes. I don't know its effects (positive or negative) on the other organs, however reperfusion of the ischemic region of the heart is the definitive treatment for ACS, the most common cause of MACE in adults. While it can be combined safely with hypothermia, it is not for the benefit of the cardiac tissue.
If hypothermia decreases the incidence of ROSC, then the improvement in neurological status is irrelevant, as a healthy brain in a patient that we are unable to resuscitate is of no use. That's my thought process on it anyway.
This is a good discussion! I enjoy some lively, high minded conversation.