Nursing care of patients with Induced Hypothermia. Danny Chan NO ICU 24/9/2010. Introduction. Numerous studies have been performed in an effort to demonstrate that hypothermia provides neuroprotection to an injured brain, preventing or altering the biological cascade of secondary injury
Nursing care of patients with Induced Hypothermia
External cooling methods:
Gaymar MEDITHERM 3
PATIENT COOLING / REWARMING THERAPEUTIC HYPOTHERMIA unit
Intravascular cooling methods:
Larsson, Wallin & Rubertsson (2010) Cold saline infusion and ice packs alone are effective in inducing andmaintaining therapeutic hypothermia after cardiac arrestResuscitation 81,15-19
The method is feasible in clinical practice at low cost and should be considered as an alternative to other methods of planned hypothermia treatment
Cooling and rewarming protocals
(will take 3-8 hrs)
BP and Volume management
Medication and fluids
1. Extremely important to keep temp >30ºC.
a. <30º C, increased risk for arrhythmias.
b. <28º C, increased risk for ventricular fibrillation.
a. If temp < 31° C, consider infusing 250 ml boluses of warm 40°C IV NS or LR untiltemperature > 32°C.
b. Monitor closely for arrhythmias whentemperature < 32°C.
Prior to rewarming: