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
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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: