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TITLE:

PREVENTION OF EARLY VENTILATOR-ASSOCIATED PNEUMONIA AFTER CARDIAC ARREST

AUTHORS:

Dr. Ali Ahmed Ranjha, Dr. Alman Hassan , Dr. Muhammad Ghufran

ABSTRACT:

The gross survival rates do not overshoot 20% at hospital discharge among patients with out-of-hospital cardiac arrests, inspite of better management, and neurologic outcomes persist poor.(1) With initial shockable rhythm the targeted temperature management at 32 to 36°C remains suggested in patients with out-of-hospital cardiac arrest but controversies are present.(2) since on morbidity and mortality it has favourable effects. An increased risk of secondary infections is also linked with targeted temperature management and comprises an independent risk factor for early ventilator-associated pneumonia. It could be informative to better analyze the consequences of a shortterm antibiotic treatment on microbiota that play a role in the protective, structural, and metabolic gut function. Fourth, whether the present results apply to patients with out-of-hospital cardiac arrest whose condition is managed with a different targeted temperature remains to be determined.

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