HYPOTHERMIA AFTER CARDIAC ARREST

Hypothermia after Cardiac Arrest

Hypothermia after Cardiac Arrest

Introduction

This paper will provide information about the induction Hypothermia after Cardiac Arrest. Care after resuscitation has developed many new concepts in recent years that seek to improve neurological outcome and leads to the survival of patients after cardiac arrest. It includes optimization, ventilation and hemodynamic electrolyte, seizure control, temperature and glucose, which is summarized in the main guide of nursing resuscitation.

Case Report

SB was a 56 years old male who was suffering from Type 2 Diabetes. He suffered from chest pain for a week. There was no history of cardiac arrest of this type of case before. He collapsed while he was working. When his friends realized he fell unconscious and was not breathing. They called for the paramedics. As a nurse, I was assisting that paramedic's team. At initial assessment, our team realized that he was not having ventricular fibrillation. Our team performed the Advanced Cardiac Life Support procedure as the cardiopulmonary resuscitation occurred 17 minutes after the cardiac arrest. When he was shifted to emergency department he was screened for induced for- hypothermia protocol. The emergency department asked me to assist and support (Smith, 2009). The ice packs were started to arm pits and groin after 20 minutes when SB arrived in emergency room. It was to provide the cooling procedure. After it the urinary catheter was inserted to monitor core temperature while hypothermia was maintained. SB's family members, who were at the bedside, were informed about the hypothermia procedure. They were told that although the goal of this therapy was to improve neurological function. The main goal was to achieve the target temperature in a shorter time, target temperatures were achieved in 2 to 4 hours (Jones, 2011).

Summary of the Issue & Review of the Literature

Survival after cardiac arrest hospital depends on the initial care, and can reach 16-32% in cases witnessed and assisted immediately, but is greatly reduced if not 1. The heart rhythm disorder that originates the PCR determines survival, which is up 34% in case of ventricular fibrillation (VF), but no more than 6% for systole, electromechanical dissociation (DEM).

The importance of reducing brain damage from anoxia / reperfusion has led to the coining the term "resuscitation cardio cerebral", as only 1.4% of the survivors of a PCR-hospital will be entirely free of neurological disorders 5 and up to 64% can be a serious sequel. Two randomized clinical studies and some observational recently published have shown the efficacy of therapy with moderate hypothermia (MH) (mild hypothermia) to improve and neurological prognosis of these patients 13. In 2003 the ILCOR (International Liaison Committee on Resuscitation) published indications of this technique (Epstein, 2006).

In coronary care unit protocol has been implemented since 2003. HM patients in prolonged coma after cardiac cause PCR. A meta-analysis combined data from these two RCTs and additional data from a study of feasibility and showed a clear benefit on the neurological status and survival with the treatment of hypothermia in patients resuscitated ...