What Is Therapeutic Hypothermia?


 

Therapeutic hypothermia refers to a form of treatment that is aimed at altering the body temperature in order to modify the pathogenesis of the disease and support the recovery of patients.

It is a type of targeted temperature management or TTM that involves strict temperature control, especially in patients with cardiac arrest. There is evidence suggesting that TTM may improve the patient's chances of neurologically intact survival, when administered after cardiac arrest.

The protocol of therapeutic hypothermia may vary among different healthcare centers with some targeting T36C while some targeting T33C.

The treatment is administered keeping in mind the phases of cerebral blood flow after cardiac arrest as given below:

·         Phase 1: Multifocal no-reflow

·         Phase 2: Global hypothermia due to CPR

·         Phase 3: Delayed hypoperfusion in the initial 24 hours after the ROSC (Return of spontaneous circulation) that may lead to cerebral ischemia due to the decrease in the cerebral metabolic rate.

·         Phase 4: Increased or normal coronary blood flow

The treatment or protocol for hypothermia should be based on the phase of coronary blood flow in order to ensure optimum results.

There are also a few criteria for the inclusions and exclusions for therapeutic hypothermia that vary among different institutions. However, irrespective of the protocol, the treatment would be aimed at improving the patient’s chances of complete recovery without any serious cardiac and neurological complications.

The common exclusions include the following:

·         Traumatic arrest

·         An advanced case of directive stipulating DNR

·         Active bleeding

·         Severe sepsis

·         Recent major surgery

·         Nursing Contact hours online

·         Pregnancy

Physicians, nurses, and other healthcare practitioners need to be careful while administering therapeutic hypothermia to improve the chances of successful outcomes.

Now you have an opportunity to learn more about therapeutic hypothermia. You can attend our "2 NURSING CONTACT HOUR LIVE WEBINAR ON CRITICAL CARE NURSING" on 28th October from 6 pm to 8 pm.

 

This webinar is organized by ATECAM LLC, which is an approved provider of NCPD (Nursing Continuing Professional Development) by the State Nurses Association Approver Unit in Pennsylvania.

The contact hours offered to the attendees of the nursing webinars, Maryland, are good even for nurses outside Pennsylvania.

This webinar is focused on educating nurses about the role of therapeutic hypothermia in the management of patients with cardiac arrest. We are also offering a collection of topics especially for nurses and nursing students to help them improve their skills and expertise.

You will learn how therapeutic hypothermia could bring about a controlled reduction in the patient's core body temperature. The webinar will also focus on how therapeutic hypothermia can reduce the risk of mortality in patients who do not regain consciousness even after ROSC. We will discuss the details of the ventilator management of ARDS and other aspects of critical care.

You will also get a chance to interact with our panel of expert physicians and ask questions!

Join the webinar to know what therapeutic hypothermia means and increase your skills in ICU and ICCU settings. 

 

 

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