This paper talks that therapeutic hypothermia has emerged as one of the most common medical practice used in dealing with neurologic outcomes especially patients experiencing cardiac arrest. The physiologic effects that involve pharmacologic and cooling effects of neuromuscular and sedatives blocking agents have been observed in the paper…
The results can be used to guide and advice nurses to consider hypothermia to patients unable to follow verbal commands following spontaneous circulation. The study recommends that patients suffering from cardiac-arrest should be transported suing facilities that can offer therapeutic hypothermia together with advanced neurologic monitoring, coronary reperfusion and standardized care. Why is this topic important in the field of nursing Nurses have been identified as to play a significant role in detecting, preventing and treating adverse complications and effects of therapeutic hypothermia. With the information provided in this paper, the nurses will be better placed to deal with most of the adverse effects in intensive-care settings. In normal settings, care for patients under therapeutic hypothermia may require intensive massive following its complexity thus the information provided by this paper may be relevant in guiding nurses as they provide such services. The reduction in morbidity and mortality and the improvement of neurologic outcomes is mostly caused by Therapeutic hypothermia. More so the condition has also several effects on the outcome of a cardiac arrest survivor. New mechanism to analyze the impact of therapeutic hypothermia when it is used to treat patients with neurologic prognosis is reviewed in this paper. In the standard therapeutic hypothermia protocol the patients are subjected to cooling for about 24 hrs to a specific temperature of 33 and it ranges from 32-34 while applying the catheter-based cooling or the surface -based method. In the cooling process the patients are treated with agents like benzodiazepines, opioids ,propofol or even a combination of the...
This study adds up to the many other studies that have been conducted on the role played by hypothermia in dealing with neurologic conditions and has been used in updating cardiopulmonary resuscitation guidelines and its findings used as recommendations for hypothermia in neurologic conditions especially patients suffering from cardiac arrest and don’t regain consciousness. The findings can also be used in the implementation of therapeutic hypothermia in patients suffering from pulseless electrical activity, asystole and in house cardiac arrest cases. The results can be used to guide and advice nurses to consider hypothermia to patients unable to follow verbal commands following spontaneous circulation. The study recommends that patients suffering from cardiac-arrest should be transported suing facilities that can offer therapeutic hypothermia together with advanced neurologic monitoring, coronary reperfusion and standardized care.
This paper have demonstrated that therapeutic hypothermia mitigates brain damage following cardiac arrest. The exact mechanism to go about it is not yet clear but different approaches have been used like cerebral oxygen consumption reduction as well as multifactorial physical and chemical mechanisms, destructive enzymatic retardation, free-radical reactions suppression, intracellular acidosis reduction and biosynthesis inhibition. This study has proved that patients treated with therapeutic hypothermia following neurologic conditions have improved neurologic outcome without any side effects in comparison with the results of historical controls. ...
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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.
Especially the cervical spine is prone for further injury because of movements of the head and the most common practice is to immobilize cervical spine is using a cervical collar. Though several devices and techniques are being developed for cervical immobilization, it is yet unclear whether use of cervical collar during resuscitation and transport improves patient outcomes.
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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.
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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