Is Therapeutic Hypothermia More Beneficial Than Maintaining
Normothermia Post-Cardiac Arrest?NUR 2243 Management of Nursing Care
IS THERAPEUTIC HYPOTHERMIA MORE BENEFICIAL?
Is Therapeutic Hypothermia More Beneficial Than Maintaining
Normothermia Post-Cardiac Arrest?
To what extent does inducing hypothermia benefit patients? What exactly are the benefits, and do they come with risks? There have been many trials dealing with therapeutic hypothermia that exhibit advantageous neurological outcomes post-cardiac arrest. Most of these trials lead to a decrease in the mortality rate of the patients. Our team decided on this topic after hearing about how induced hypothermia helped in …show more content…
“Hypothermia is currently the only neuroprotectant with proven benefits in the prevention of
PCA anoxic brain injury and is currently recommended…” (Alkadri & McMullan, 2009). As further investigations unfold, all healthcare systems may implement therapeutic hypothermia
IS THERAPEUTIC HYPOTHERMIA MORE BENEFICIAL? post-arrest. This research could improve all practices by prolonging the life of cardiac arrest patients. As most of these patients die from the lack of oxygen to the brain, being able to preserve the brain tissue will lead to more desired outcomes and decrease the mortality rate associated.
Therapeutic hypothermia in the treatment of PCA patients is rapidly taking root, but the frequency of its application in the United States is still quite limited. An internet-based physician survey in 2006 found that 74% of responding physicians had never used therapeutic hypothermia. Adoption among intensivists was 34%, while only 16% of emergency medicine physicians reported use. (Alkadri & McMullan, 2009, p. …show more content…
References
Alkadri, M. E., & McMullan P. (2009). Induced Hypothermia as a Neuroprotectant in Post-Cardiac Arrest. The Oschner Journal, 9:278-281.
Binks, A. C., Murphy, R. E., Prout, R. E., Bhayani, S. S., Griffiths, C. A., Mitchell, T. T., & ... Nolan, J. P. (2010). Therapeutic hypothermia after cardiac arrest – implementation in UK intensive care units. Anaesthesia, 65(3), 260-265. doi:10.1111/j.1365-2044.2009.06227.x
Hay, A. W., Swann, D. G., Bell, K. K., Walsh, T. S., & Cook, B. B. (2008). Therapeutic hypothermia in comatose patients after out-of-hospital cardiac arrest. Anaesthesia, 63(1), 15-19. doi:10.1111/j.1365-2044.2007.05262.x
Keresztes, P. A., & Brick, K. (2006). Therapeutic Hypothermia After Cardiac Arrest. (cover story). Dimensions Of Critical Care Nursing, 25(2), 71-76.
Logan, A., Sangkachand, P., & Funk, M. (2011). Optimal Management of Shivering During Therapeutic Hypothermia After Cardiac Arrest. Critical Care Nurse, 31(6), e18-e30. doi:10.4037/ccn2011618
Morcom, F. (2003). CHILL OUT: THERAPEUTIC HYPOTHERMIA IMPROVES SURVIVAL. Emergency Nurse, 11(4),