Cardiac arrest is quite common in many countries of world including United States, where about 325, 000 reported deaths have been recorded per year according to the study published by Bau P. (2010). Many patients undergoing cardiac arrest, ultimately survive as a result of…
This technique involves cooling of a patient to about 32 to 34 degrees Centigrade. Although introduced in 1950’s, it was abandoned due to certain difficulties however it was re-introduced in 1980’s after animal studies. After some successful studies, it is now approved by American Heart Association and is a part of their updated resuscitation standards. Given below is an insight into the steps involved, side effects and possible prognosis of induced therapeutic hypothermia.
Therapeutic hypothermia is also known as ‘targeted temperature management’. Michelle E. (2011) has discussed in detail about the induction of therapeutic hypothermia and its outcomes in patients undergoing open cardiac surgery. She defines the therapeutic hypothermia as a ‘deliberate reduction of the core body temperature’ typically to a range of about 32 to 34 degrees Centigrade (89.6 to 93. 2). This is especially true for those patients who are unable to regain consciousness as the blood starts to circulate again following a cardiac arrest.
During an open heart surgery, there is significant risk of neurological injury on account of the lack of oxygen supply to brain as the circulation comes to a halt. In the absence of oxygen, the brain undergoes anaerobic metabolism as reported by Michelle E. (2011). This leads to damage to ATP dependent cellular functions with a resulting increase in calcium and glutamate excretion. The brain cells thus become more active, consuming more oxygen. With the increasing hypoxemia, further damage occurs leading to cell death. The resultant cerebral edema further enhances the damage. Also, as a result of all these processes, the blood brain barrier also becomes ineffective further contributing to cerebral edema
As soon as the circulation returns after the heart starts pumping again, reperfusion injury occurs which adds up to the ongoing damage. Meanwhile, there is already an onset of the inflammatory reaction as a result of ...
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There are three sections to be discussed: the actual procedure of the cardiac catheterization; what nephropathy is; and how to best prevent contrast-induced neuropathy during the cardiac catheterization.
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. Numerous studies have been done to identify the risks and benefits associated with this procedure.
This condition is however, fraught with several risks, one of which appears to be kidney failure, known as nephropathy (Rudnick, 2006). The nephropathy occurs because of the contrast-medium injected to study the arteries and the structure of the heart and hence is known as contrast-induced nephropathy or contrast-induced nephropathy.
Rights were formed by the circlet and only were applied to those people the kingdom felt commendable. When charged of law-breaking, a civilian had very restricted defense and assurances of justice and appropriate procedure. In an attempt to offer definite and assured constitutional rights to individuals blamed of a wrongdoing, the Constitutional Alterations referred to the rights considered to defend citizens before taken into custody and to guarantee that arrests are centered on various accessible details.
The first problem, according to Rosiers and Bittle (2004) is that law does have a strong social basis. In other words, the law of a land is shaped by the ideals of the society in which it operates. As a result, new and new crimes appear in the statute books from time to time, and again, the law of a land gets significantly different from the law of another geographical area, and thirdly, though an action does not violate law in a particular country, if it violates the international law, the person again is liable to be punished.
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.
This very fact demands on the part of EMS professionals thorough theoretical knowledge about the pathophysiological processes involved in the sudden nature of cardiac arrest and skills and dexterity in management.
The specific feature of
It is necessary for all rescuers to understand the anatomy and pathophysiology of cardiac arrest so as to be able to save lives. Chest compression refers to the technique of restoring the cardiac activity manually in case of heart attack or cardiac arrest. The purpose of
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