Therapeutic Hypothermia Can Improves Neurological Outcome and Decrease Mortality in Post Cardiac Arrest PDF Download
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Author: Mehjabeen Momin
Publisher:
ISBN:
Category : Cold
Languages : en
Pages : 0
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Book Description
The common and unfortunate complication after cardiac arrest is hypoxic-brain injury, which leads to devastating neurological complication. There are only 7% to 30% of the patient, discharged at home with good neurological outcome, who were admitted after cardiac arrest. The initial emergency treatment of stabilizing the heart and the intensive care unit (ICU) management to treat the underline cause of the cardiac arrest are still not resulting in improved neurological outcome or decrease mortality rate in post cardiac arrest patient. The induction of therapeutic hypothermia (TH) of 32 ?C ' 34 ?C in ICU within 3-4 hours for 24 hour and then rewarm slowly at temperature of 0.3- 0.5 ?C every hour, with injunction of the other care management and treatment for post cardiac arrest patient. Evidences has suggested that therapeutic hypothermia can provide cerebral neuro-protective benefits in post cardiac patients even with different methods of hypothermia induction. The treatment process to desired outcome requires close monitoring of the patient, competent nurses with knowledge and skills of the treatment. The therapeutic hypothermia is concurrently implemented in hospitals for the short term and long term patient quality patient care outcome. Since 2007, the year hypothermia was included in treatment plan for post cardiac arrest by different hospitals, the mortality rate of these hospital has significantly decreased and the neurologic disability also decreased among the survivors overtime.
Author: Mehjabeen Momin
Publisher:
ISBN:
Category : Cold
Languages : en
Pages : 0
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Book Description
The common and unfortunate complication after cardiac arrest is hypoxic-brain injury, which leads to devastating neurological complication. There are only 7% to 30% of the patient, discharged at home with good neurological outcome, who were admitted after cardiac arrest. The initial emergency treatment of stabilizing the heart and the intensive care unit (ICU) management to treat the underline cause of the cardiac arrest are still not resulting in improved neurological outcome or decrease mortality rate in post cardiac arrest patient. The induction of therapeutic hypothermia (TH) of 32 ?C ' 34 ?C in ICU within 3-4 hours for 24 hour and then rewarm slowly at temperature of 0.3- 0.5 ?C every hour, with injunction of the other care management and treatment for post cardiac arrest patient. Evidences has suggested that therapeutic hypothermia can provide cerebral neuro-protective benefits in post cardiac patients even with different methods of hypothermia induction. The treatment process to desired outcome requires close monitoring of the patient, competent nurses with knowledge and skills of the treatment. The therapeutic hypothermia is concurrently implemented in hospitals for the short term and long term patient quality patient care outcome. Since 2007, the year hypothermia was included in treatment plan for post cardiac arrest by different hospitals, the mortality rate of these hospital has significantly decreased and the neurologic disability also decreased among the survivors overtime.
Author: Lisa Vollaro
Publisher:
ISBN:
Category : Evidence-based nursing
Languages : en
Pages : 62
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Book Description
Author: Zoe Chan
Publisher:
ISBN:
Category :
Languages : en
Pages : 84
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Book Description
Problem: Effective therapeutic hypothermic treatment involves quick and careful management in order to optimize neurological outcomes and improve the morbidity and mortality associated with cardiac arrest. Currently there is no standardized guideline in implementation of therapeutic hypothermia across institutions throughout the country. There are many studies that look into this treatment; however, the sample sizes have been small and many confounding variables have affected outcome. This literature review aims to look at recent studies involving different aspects of treatment such as target temperature of cooling, method of cooling, and investing new novel techniques in cooling treatment that are used to improve patient outcomes. Methods: The search for articles was performed using the Weill Cornell Medical Library to access PubMed using the following search terms: "therapeutic hypothermia" and "brain", "cardiac arrest" and "brain", "target temperature" and "therapeutic hypothermia", "methods of cooling in therapeutic hypothermia." Results: The search for "therapeutic hypothermia" resulted in 23,492 results while "therapeutic hypothermia cardiac arrest" yielded 4903. Many of the results were in - depth discussions about side effects, techniques of measuring cooling, and pediatric cases which were not as relevant to this review. A large amount of literature has been recently published as hypothermic treatment has been studied for many years; however, continued detailed research helps move its use into the spotlight. Overall 17 articles were used which detailed clinical trials in which hypothermia has been used, its outcomes, and effect on the brain. Conclusions: Though there have been many studies that have looked at the implementation of therapeutic hypothermia in cardiac arrest, there needs to be further evidence -based medicine in order to standardize treatment guidelines. Larger sample sizes should also be taken into account in order to capture a larger patient population that can benefit from these treatments. The goal of the following proposal will be to look into an area that has not been studied as extensively.
Author: Amber M. Branum
Publisher:
ISBN:
Category : Body temperature
Languages : en
Pages : 0
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Book Description
People die every day from many different kinds of illnesses, diseases, and even cardiac arrest. Unfortunately cardiac arrest is not bias and does not discriminate by age, race, and yes even lifestyle. Out of hospital cardiac arrest is a major factor in related deaths each year. The American Heart Association report that in twenty-fourteen that there were 424,000 incidents reported of cardiac arrest in the United States alone, emphasis on Reported. This report included both adults, elderly and children. Medical science make incredible strides every minute and every second which can change the outcome of those that have suffered from an out of hospital cardiac arrest. One of those studies includes therapeutic hypothermia to improve neurological outcomes and reduce the morbidity and mortality rate that goes along with cardiac arrest. When the heart ceases to beat and carry the needed nutrition to the vital organs of the body a major concern is brain function. Just like with a stroke, cardiac arrest deprives the brain of the blood, oxygen and nutrients to stay viable, as the saying goes, Time is Brain. Knowing the steps both outside the hospital and inside the hospital will make the difference between life and death and whether or not the patient will lose all cognitive function. Rapid CPR, call to EMS, the hospital receiving the patient in a timely manner along with the patient being assessed for the use of hypothermia protocol are all key roles in the success of the patients outcome. Once the patient has been assessed and is a candidate acceptable for therapeutic hypothermia it is imperative that the patient has reached goal temperature within three hours of reaching the hospital along with continued close monitoring of temperature, vitals, electrolyte and overall functions. Patients should remain at goal temperature for twelve to twenty-four hours to give the body the time it needs to heal, recovery and hopefully allow the patient to regain all functions once they have completed the therapy or after extensive physical therapy.
Author: Peter Safar
Publisher: W.B. Saunders Company
ISBN: 9780721621562
Category : Medical
Languages : en
Pages : 488
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Book Description
An introduction to basic and advanced cardiac and trauma life support. This text embodies the principles and practices advocated by the World Federation of Societies of Anaesthesiologists' Committee on Cardiopulmonary Cerebral Resusitation and Critical Care and incorporates American Heart Association Conference guidelines on CPR and emergency care. Includes complete coverage of resuscitation medicine--basic, advanced and prolonged cardiac and traumatic life support. Approved by the WFSA.
Author: Amy Cruz
Publisher:
ISBN:
Category : Cold
Languages : en
Pages : 0
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Book Description
Despite technological advances in intensive critical care monitoring of patients post cardiac arrest, the mortality rate is high and neurological outcomes remains poor. Research data shows that therapeutic hypothermia initiated post cardiac arrest will preserve neurological function. Implementing protocols within hospitals to facilitate therapeutic hypothermia is vital for the recovery of patients and to help decrease morbidity and mortality.
Author: N. Hayashi
Publisher: Springer Science & Business Media
ISBN: 4431668829
Category : Medical
Languages : en
Pages : 253
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Book Description
Rapid progress in technology and its application to diagnosis and monitoring of brain tissue temperature and metabolism have resulted in advances in the therapy for critically brain-injured patients and breakthroughs in understanding the pathophysiology of brain damage. The latest concept of brain hypothermia therapy clarifies targets such as brain thermal pooling, masking brain hypoxia associated with catecholamine surge, the metabolic shift from glucose to lipids, and selective radical damage of dopamine in the central nervous system. This volume explains the mechanism of brain injury and how brain hypothermia treatment differs from other hypothermia therapy in four major sections: Brain Injury Mechanism, Pathophysiology of Hypothermia, Basic Research of Hypothermia Treatment, and Clinical Studies of Brain Hypothermia. The book is a valuable source for practitioners and researchers in neurosurgery and neurology and in critical care and emergency medicine.
Author: Charlotte R. Lewis
Publisher:
ISBN:
Category : Cold
Languages : en
Pages : 0
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Book Description
When a person suffers cardiac arrest and has a return of spontaneous circulation, they may suffer severe brain damage from the arrest itself or from an inflammatory response to the reperfusion to the brain leading to swelling and further damage. Studies have shown treating patients with therapeutic hypothermia after cardiac arrest for 12-24 hours may reduce the brain damage and improve their neurological outcome. Patients are cooled down to 32-34 degrees Celsius by internal or external means, and re warmed after 12-24 hours. This project proposes a description of the mechanism of the problem, brain injury, a detailed explanation of the solution, therapeutic hypothermia as well as an implementation plan to introduce this therapy to a hospital that currently does not use therapeutic hypothermia. This proposal also includes an evaluation plan with tools to measure outcomes, and dissemination plan to share the results with stakeholders and nursing community. The project includes supportive evidence of the claim as well.
Author: Katie E. McMaster
Publisher:
ISBN:
Category : Cold
Languages : en
Pages : 0
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Book Description
Cardiac arrest has been a plague that has taken millions of lives, killing over 300,000 people every single year. Not many people are able to come out of a cardiac arrest alive, let alone mentally stable. What if there was a way to help improve the neurological outcome of all cardiac arrest survivors? With the use of therapeutic hypothermia, the process of cooling the patient to 32°C to 34°C can significantly decrease the amount of cell death in the brain after a cardiac arrest. According to various amounts of research, this method of patient care seems to have a considerable impact on the quality of life for our patients. However, not all hospitals have implemented this protocol. There are many ways that one is able to initiate a change in their place of employment and advocate for the use of therapeutic hypothermia. After this is implemented, there would also need to be an in depth evaluation of the cooling process and the patient outcomes. Although this would be a long and tiring task to perform, the end result should absolutely be worth it.
Author: Stephanie N. Hardison
Publisher:
ISBN:
Category : Cardiac arrest
Languages : en
Pages : 0
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Book Description
There are greater than 290,000 yearly fatalities related to sudden cardiac death in the United States (AHA, 2009). There is an upheaval in evidence-based practice regarding the positive neurological outcomes in post cardiac arrest patients who have had therapeutic hypothermia initiated on them. Now that therapeutic hypothermia protocols are more commonly initiated in the Emergency Department, it makes it crucial for Emergency Department nurses to comprehend the evidence-based research behind using it, and the importance of early application in order to help improve neurological function in these post cardiac arrest patients. This paper discusses all phases of the project to educate the nursing and support staff of a local Emergency Department. The following paper chronicles the problem description, a solution description, the implementation plan, an evaluation plan, the dissemination plan, and a review of the literature that has been assessed. In addition, an exemplar of the pre and post educational survey as well as an exemplar of a therapeutic hypothermia brochure to be distributed is attached in the appendices for viewing. Fifteen peer-reviewed studies were thoroughly researched and critically appraised. The majority of the material researched included quantitative and qualitative research. The resulted findings were all significant to nursing and patient care as they have deliberated from these evidence based trials that inducing therapeutic hypothermia in post cardiac arrest patients is effective in optimizing patient outcomes by restoring neuronal function. A few of the evidence-based studies also resulted that therapeutic hypothermia is not being induced as soon as it should be due to barriers and knowledge deficit.
