The paper also adds on the patient suitable for this treatment modality. The paper also seeks to dwell on the mechanistic of therapeutic hypothermia. This is in terms of methods employed to induce hypothermia. It also explores the various methods that can be used to monitor temperature. Recommendations are suggested in the end. This is in the hope that the recommendations will help the clinician in issuing treatment to pediatric cardiac arrest cases using therapeutic hypothermia. 1.0 Introduction In the Northern America, the incidence of cardiac arrest in both adults and children ranges from 0.53 to 0.91 for every 1,000 persons. Out of these, about 8% survive (Polderman et al. 1100). The deaths have been attributed to the devastating neurological cell damage associated with cardiac arrest. In pediatric cases, the 1 year survival rate is poor despite the relative success in the initial resuscitation. A randomized controlled trial done on cardiac arrest patients revealed that the survival rate from an out of hospital cardiac arrest was at 2-28% compared to 14-42% in an in hospital cardiac arrest (Polderman et al. 1100). This is because mortality and morbidity is dependent on the duration of the arrest. The topic was chosen so as to enlighten those working in the pediatric department about the application of therapeutic hypothermia following pediatric cardiac arrest. Therapeutic hypothermia in cardiology was first used in 1950 for cardiac surgery to protect the brain from hypoxia. The survival outcomes of this procedure in cardiac patients resulted in subsequent studies and trials. A study done in 2000 in Europe demonstrated that patients treated at these temperatures had a better outcome than those managed in the normal temperatures (Pozos et al 376). In 2003, the ILCR approved the use of therapeutic hypothermia for the management of patients who developed neurological injury as a complication of cardiac arrest even after successful resuscitation (Polderman et al. 1115). This has significantly contributed to the development of various devices used in the procedure so as to reduce the complication cases. In neonate, following cardiac arrest, Hypoxic Ischemic Encephalopathy (HIE) is the most serious complication. The extent of this complication is dependent on the duration of hypoxia and the effectiveness of the emergency resuscitation. Therapeutic hypothermia involves the cooling of a comatosed patient to a core body temperature of 32-34oC for a period of 12-24 hours (Elizabeth et al 300). According to the American Association Guidelines, the procedure should only be done if the patient remains in a coma state following the return of spontaneous circulation. This means that the procedure can only be done if the child does not recover fully from the cardiac arrest even after a successful resuscitation. Therapeutic hypothermia has been applied for both pediatric and adult cases of stroke, acute encephalitis, near drowning patients and neonatal hypoxemia. In the recent years, it has been applied in the treatment of increased intracranial pressure and traumatic brain injury. However, the benefit of this method in traumatic brain injury in pediatric cases has not yet been established. The main goal of this treatment modality is to preserve the brain function. This has been attributed to success in reducing the mortality and morbidity associated with cardiac arrest. T
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Abstract The application of therapeutic hypothermia in cardiac arrest has been applied in children and adults. In pediatric cases, it has been applied in cardiac arrest as well as neonates with birth asphyxia. Therapeutic hypothermia involves the cooling of a comatose patient to a core body temperature of 32-34oC for a period of 12-24 hours (Elizabeth et al 300)…
In the diagnosis of such condition among pediatric patients, as well as in scientific endeavors to treat it, nurses have essential roles to play as health care providers and members of the health care team. The nursing process of assessment, diagnosis, planning, implementation and evaluation (ADPIE) can undoubtedly be applied in the care of these children.
8). In more ways, having a child indicated for complex and prolonged medical treatment can exhaust available resources, both in time, efforts, and financial funding. Such instances are affirmed by Heap (n.d.) revealing the struggles of family members in coping with their child’s worsening conditions, while juggling with finding sufficient resources, and support for sustenance with terminally debilitated pediatric patients.
Where the evidence establishes probable cause to believe that a misdemeanor or felony was committed, the police are prohibited from even asking the victim about whether to arrest the alleged abuser. Before mandatory arrest programs in the US were implemented, law enforcement authorities were not allowed to arrest individuals suspected of domestic violence (Hoctor, p.
Has a history of other malignant neoplasm of unspecified site. Surgical history/dates: No previous surgical experience, although a history of malignant neoplasm is noted. Based on the data you have gathered and your review of the pathology, describe your thoughts as to what is going on with this child/family.
Many patients undergoing cardiac arrest, ultimately survive as a result of resuscitation efforts but show a poor quality of neurological functioning due to ischemic injuries following hypoxia especially in brain.
This paper is going to conduct a review on past prognosis assessments on patients under therapeutic hypothermia treatment. The review is aimed at proving that therapeutic hypothermia does impact neurologic functions thus improving the conditions of patients. Over the years, therapeutic hypothermia has stood out as the most appropriate care that can be given to patients with neurologic outcomes one of them being cardiac arrest.
The use of therapeutic hypothermia to assist patient recover from the post cardiac arrest effects have been extensively studied and established. Therapeutic hypothermia, also known as protective hypothermia is a common treatment used to lower the body temperatures of patients to help them from contracting ischemic injury to their tissues that occurs when the body is predisposed to insufficient blood flow.
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Patient is diagnosed of pneumonia and mild dehydration, but with an underlying Acute Lymphocytic Leukemia and a history of malignant neoplasm of unspecified site. Children diagnosed with ALL frequently
The author of the essay suggests that traditionally, the blacks are more likely to be arrested than the whites. And it stressed that the police played a role in encouraging racial violence by either encouraging or taking no action against the mobs. Hence, the status quo plays a huge role in economic segregation.
4 pages (1000 words)Research Paper
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