Therapeutic hypothermia and controlled normothermia in the. Download attractive hypothermia powerpoint ppt templates for a good powerpoint presentation. Targeted temperature management ttm previously known as therapeutic hypothermia or protective hypothermia is an active treatment that tries to achieve and maintain a specific body temperature in a person for a specific duration of time in an effort to improve health outcomes during recovery after a period of stopped blood flow to the brain. Its safety profile in patients with systemic sclerosis ssc and raynaud phenomenon rp, who may be at increased risk for ischemic complications, has not been addressed in the literature, to our knowledge. Cardiac arrest happens when the heart suddenly stops beating. Anesthesia and analgesia protocol during therapeutic hypothermia after cardiac arrest. Therapeutic hypothermia after cardiac arrest circulation. Therapeutic hypothermia for outofhospital cardiac arrest. There is a growing body of evidence that therapeutic hypothermia th in patients who are comatose after cardiac arrest improves neurologic outcomes. Inducing therapeutic hypothermia in cardiac arrest caused by. Targeted temperature management therapeutic hypothermia in. Nursing care of patients with induced hypothermia powerpoint ppt presentation. Confusion around therapeutic temperature management.
Induced hypothermia is probably the most important new treatment for periarrest patients. Therapeutic hypothermia and controlled normothermia in the intensive care unit. Soldiers guide to prevent cold weather injuries the commonsense guide to planning, training, and preparing for cold weather operations in korea. Download s free hypothermia problem medical powerpoint template now for your upcoming medical powerpoint presentations. Ancient societies had long figured out that hypothermia was useful for acute hemorrhage control. The more recent use of therapeutic hypothermia after cardiac arrest to improve neurological recovery was instituted globally after publication of 2 landmark studies 2,3 in 2002. Adverse consequences of rewarming on the whole body may seriously limit the protective effects of hypothermia, leading to secondary injury. Prospects for improved cpr and mild therapeutic hypothermia. Scribd is the worlds largest social reading and publishing site. Multiple brainrelated complications such as seizures, status epilepticus, myoclonus, and cerebral edema have been noted in these patients. The patient was continued on the hypothermia protocol for 24 hours, rewarmed, and transferred to the regional burn center for continued care of his thirddegree burns. Ppt therapeutic hypothermia for postcardiac arrest. Jun, 2012 background delay in implementing new treatments into clinical practice results in considerable health and economic opportunity costs.
View and download powerpoint presentations on ems hypothermia ppt. Therapeutic hypothermia does not appear to provide a survival or improved neurological benefit in both studies, no difference in survival, function at 12 months postarrest, blood product use, infection rates. Therapeutic hypothermia ppt video online download slideplayer. Considerations for combining therapeutic hypothermia and pci.
Mild hypothermia has been shown to be neuroprotective for patients who have suffered out of hospital cardiac arrest from ventricular fibrillation bernard et al. Therapeutic hypothermia th improves the survival rate and neurological convalescence and has emerged over the past 10 years as a new treatment only because of incomplete compliance for comatose patients after outofhospital cardiac arrest ohca. Therapeutic hypothermia after cardiac arrest adam oster r3 resident oral presentation november, 2003 therapeutic hypothermia post cardiac arrest guiding questions. Therapeutic hypothermia in mild neonatal encephalopathy. There are possible benefits of therapeutic hypothermia for other conditions such as ards, sepsis, severe liver failure and after open heart cardiothoracic surgery complicated by circulatory arrest. This free hypothermia problem medical ppt is one of the free medical powerpoint templates available for medical and healthcare professionals on. This led to an advisory statement by the ilcor international liaison. Feb 03, 2020 therapeutic hypothermia is a procedure used to cool a persons body to a temperature that is lower than normal. Therapeutic hypothermia after cardiac arrest powerpoint.
Midazolam drip initiated to stop seizures and induce burst suppression. Outcomes of interest were hospital mortality and neurological. Massive pulmonary embolism with cardiac arrest treated. The patients circulation must be maintained with a systolic bp 90mmhg and airway with 02 saturation of 90%.
Its sometimes used for people who have a cardiac arrest. Therapeutic hypothermia american heart association. The goal is to continue the therapeutic hypothermia for a period of 24 hours from initiation of cooling. Therapeutic hypothermia systems sales market report 2018 in this report, the global therapeutic hypothermia systems market is valued at usd xx million in 2017 and is expected to reach usd xx million by the end of 2025, growing at a cagr of xx% between 2017 and 2025. Therapeutic hypothermia th has been considered as an effective method for reducing ischemic injury of the brain. The role of therapeutic hypothermia 3234c applied after outofhospital cardiac arrest was supported by the hypothermia after cardiac arrest study group trial results, which showed an improvement in neurological recovery and survival in the therapeutic hypothermia group patients. The effect of therapeutic hypothermia limit neurologic injury after a patients resuscitation from cardiac arrest reduction in brain metabolism reduction in oxygen utilization reduction in atp consumption mccullough jn, et al. Nonshockable cardiac arrest rhythms have only recently been included in resuscitation guidelines. Use the above hypothermia powerpoint ppt template to make powerpoint presentation on hypothermia. Evidence supports the use of therapeutic hypothermia to minimize brain injury and target body temperatures should be achieved within the first few hours following resuscitation. Anne cloutare, ems program director for centura health shares this presentation by dr. Therapeutic hypothermia after cardiac arrest in a patient. Michael feldman discuss the removal of atropine from the peaasystole algorithm, the indications and dangers of adenosine in widecomplex tachycardias, pressors as a bridge to transvenous pacing in unstable bradycardias, and the key elements of post cardiac arrest care. View and download powerpoint presentations on therapeutic hypothermia neonate ppt.
Find powerpoint presentations and slides using the power of, find free presentations research about ems hypothermia ppt. We report a national survey on current cooling practices for babies with mild encephalopathy in the uk. Optimising nutrition during therapeutic hypothermia adc. Please do the presurvey first, then complete the screening neurologic exam presentation and finish with the postsurvey. Screening neurologic exam for therapeutic hypothermia. Induction of prehospital therapeutic hypothermia after resuscitation from nonventricular fibrillation cardiac arrest. The unconscious person is cooled in the hospital after his or her breathing and heartbeat start again. Theyll give your presentations a professional, memorable appearance the kind of sophisticated look that todays audiences expect. Shivering treatments for targeted temperature management. Hypothermia and cold weather survival the onset of mild hypothermia is a field emergency, indicating a significant drop in core temperature has already occurred. Ppt hyperthermia and hypothermia powerpoint presentation.
Mild hypothermia as a treatment for hie is commonly used to treat. Only limited clinical scenarios are grounds for induction of therapeutic hypothermia. However, after return of spontaneous circulation rosc and coronary revascularization, more than 50% of survivors suffer from acute heart failure and need inotropic cardiac support to. Over the last decade therapeutic hypothermia has been established as a recognized intervention to increase survival and improve neurologic outcome in adult comatose cardiac arrest survivors 26. Therapeutic hypothermia th is potently neuroprotective in experimental stroke models and clinically proven to improve outcomes in patients after cardiac arrest and neonatal encephalopathy because of hypoxiaischemia.
The hypothermia is maintained for 72 hours, and then the infant is gradually warmed to. This tool is designed for all members of the neonatology or nursery team and the tests are anonymous. Once the heart starts beating again, healthcare providers use cooling devices to lower your body temperature for a short time. This lecture hopefully answers all of your ed hypothermia questions. In february 2011, national health service nhs national. The majority of research has focused, so far, on these secondary injury processes being destructive to brain. The rewarming phase of the hypothermia therapy also varied in the studies available. Worlds best powerpoint templates crystalgraphics offers more powerpoint templates than anyone else in the world, with over 4 million to choose from. To discover the cause a thorough history and physical must be done, baseline neurologic exam, diagnostic tests, labs, imaging studies should be performed. For shockable rhythms, you essentially double your patients chances of leaving the hospital with good neurological outcome. A free powerpoint ppt presentation displayed as a flash slide show on id. Therapeutic hypothermia and temperature management jama.
Therapeutic hypothermia and hospital factors influencing its use therhypothermia temp manag. Summary of practice guideline recommendations for therapeutic hypothermia american heart association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care 2010 5 comatose ie, lack of meaningful response to verbal commands adult patients with rosc after outofhospital vf cardiac arrest should be cooled to 32c34. Portable head ct scan shows diffuse cerebral edema concerning for tonsillar. A 2014 uk survey found that 79% 33 of 42 of responding neonatal units routinely withheld enteral nutrition during cooling. However, it was well established that hyperthermia must be avoided following cardiac arrest. Summary current evidence indicates that tth with a comprehensive protocol for resuscitated patients after ohca, compared with usual care, is a beneficial intervention for patients after ohca who. Find powerpoint presentations and slides using the power of, find free presentations research about therapeutic hypothermia neonate ppt. Hie may result in death or cause serious impairment in survivors, and remains a significant cause of morbidity and mortality among neonates.
Continuous video eeg confirmed multifocal subclinical status epilepticus. Its use in traumatic cardiac arrests, including those from lightning strikes, is not well studied. Induced hypothermia post cardiac arrest with rosc in 2002, the new england journal published two well designed studies 1,2 showing dramatically improved outcomes when patients are actively cooled after resuscitation from v. Mechanism of neuroprotection, phases of hypothermia, and methods of cooling. Multiple studies have shown improved neurological outcomes by implementing a postarrest cooling protocol nikolaou et al. Ready access to cooling agents adherence to therapeutic hypothermia guidelines for outofhospital cardiac arrest.
Massive pulmonary embolism is a clinical condition with high mortality1 and thrombolytic therapy should be considered when cardiac arrest is also present. Failure to control a patients core temperature is associated with the development of fever and worse neurologic outcomes. Therapeutic hypothermia for management of neonatal. History and current use of mild therapeutic hypothermia after. Therapeutic hypothermia is associated with improved neurological outcome and survival in cardiac arrest survivors of nonshockable rhythms. Therapeutic hypothermia favorably impacts neurologic outcomes in patients after cardiopulmonary arrest, although the appropriate target temperature is less clear.
Cerebral outcomes with therapeutic mild hypothermia in. Ppt therapeutic hypothermia powerpoint presentation. Nov 25, 2010 the degree of therapeutic hypothermia can mild 34. Cardiac arrest ca is associated with very high mortality and causes neurological dysfunction in the survivors. Therapeutic hypothermia has been used for millennia, but in recent years was not in much clinical use due to an apparent high risk of complications. Therapeutic hypothermia has emerged as a potentially lifesaving treatment for the care of the critically ill. One to one nursing care is required for any patient receiving therapeutic hypothermia.
Hypothermia safety training powerpoint presentations. Therapeutic hypothermia after recanalization in patients with. Hypothermia after cardiac arrest study group, 2002. Pdf therapeutic hypothermia past, present, and future. Oct 01, 2016 the benefit of hypothermia after cardiac arrest due to other initial rhythms was not as clear in 2010. Powerpoint on hypothermia free download as powerpoint presentation. Targeted temperature management therapeutic hypothermia. Data from the uk toby cooling register provides the opportunity to examine how one new effective therapy for newborn infants suspected of suffering asphyxial encephalopathy therapeutic hypothermia was implemented in the uk. Hypothermia after cardiac arrest perelman school of.
In both studies, the percentage of patients treated with therapeutic. Therapeutic hypothermia code chill phases initiation or induction or cooling goal temp. Maintaining this temperature target still requires similar active interventions as the induced hypothermia protocol. Therapeutic hypothermia or targeted temperature management is one of the few. Bernard et al 2 and the hypothermia after cardiac arrest study group 3 corroborated positive outcomes in patients with ventricular fibrillation. The procedure is done after a cardiac arrest when the heart stops that happens outside of a healthcare setting. Effect of prehospital induction of mild hypothermia on. This hypothermia powerpoint ppt template is designed for effective hypothermia powerpoint slides with a colorful powerpoint background and theme.
Therapeutic hypothermia after cardiac arrest in adults. No other patient, cardiac arrest or hypothermia protocol restrictions were applied. Therapeutic hypothermia is a procedure used to cool a persons body to a temperature that is lower than normal. There is little evidence to inform provision of enteral or parenteral nutrition to infants with hypoxic ischaemic encephalopathy hie during and soon after therapeutic hypothermia. Once the new borne is evaluated on the inclusion criteria for therapeutic hypothermia a standard protocol is applied. Practical considerations, side effects, and cooling methods kees h. Implementation and conduct of therapeutic hypothermia for. Caring for patients treated with therapeutic hypothermia. Rewarming is a delicate phase of therapeutic hypothermia th. Targeted temperature management has also been shown to abort seizures in animal models. Mild hypothermia alters midazolam pharmacokinetics in normal healthy volunteers. View and download powerpoint presentations on hypothermia ppt. An example of a hospital based protocol for therapeutic hypothermia th that summarizes. We report a case of full neurological recovery with therapeutic hypothermia after a lightninginduced pulseless.
Ppt therapeutic hypothermia after cardiac arrest powerpoint. Kuipers use of a standardized protocol for postarrest. The decision to apply therapeutic hypothermia for these indications relies on the judgment of the treating clinicians. Jan 16, 2012 the effect of therapeutic hypothermia limit neurologic injury after a patients resuscitation from cardiac arrest reduction in brain metabolism reduction in oxygen utilization reduction in atp consumption mccullough jn, et al. From 74 neonatal units contacted, 68 were cooling centres. Targeted temperature management an overview sciencedirect. The neurocritical care society ncs guidelines for the treatment of status epilepticus in adults state that targeted temperature management is an emerging therapy with limited data on the safety and effectiveness of these treatments for refractory status epilepticus and therefore recommend to reserve these therapies to patients who do. Hypoxic ischemic encephalopathy hie in newborns is caused by an injury to the brain following a hypoxic or an ischemic event during the peripartum, intrapartum or postpartum period. Alteplase has been the preferred thrombolytic agent in pulmonary embolism. Ppt nursing care of patients with induced hypothermia. To the editor we read with great interest the viewpoint by little and feldman titled therapeutic hypothermia after cardiac arrest without return of consciousness. Winner of the standing ovation award for best powerpoint templates from presentations magazine.
To download, rightclick on the file name and select save target as. Therapeutic hypothermia targeted temperature management aims to attenuate a cascade of secondary injury mechanisms, which is started immediately after the initial event primary injury and may last for hours and even days 4, 6, 12. Free hypothermia problem medical powerpoint template for. Ppt therapeutic hypothermia for postcardiac arrest patients powerpoint presentation free to download id. A read is counted each time someone views a publication summary such as the title, abstract, and list of authors, clicks on a figure, or views or downloads the fulltext. Although major cooling trials and subsequent guidelines excluded babies with mild encephalopathy, anecdotal evidence suggests that cooling is often offered to these infants. Brain injury causes morbidity and mortality after resuscitation from cardiac arrest, and many patients never awaken.
Therapeutic hypothermia in comatose postcardiac arrest patients. Therapeutic hypothermia after cardiac arrest johns. Induction of therapeutic hypothermia after cardiac arrest in prehospital patients using icecold ringers solution. Therapeutic hypothermia, also termed targeted temperature management, is an established intervention that is used to protect neurologic function in patients with certain types of cardiac arrest. Therapeutic hypothermia in deceased organ donors and. Therapeutic hypothermia gained worldwide support after two landmark studies were published in the new england journal of medicine in february 2002. Thus, understanding, predicting, and managing possible systemic side effects of rewarming is important for guaranteeing th efficacy.