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Este protocolo tiene como objetivo mejorar los resultados neurológicos de los pacientes que han experimentado un paro cardíaco y han sido resucitados con éxito. Se discuten las complicaciones y

How to fill out formrapeutic hypoformrmia after resuscitated

How to fill out Therapeutic Hypothermia after Resuscitated Cardiac Arrest

1. Identify the patient who has been successfully resuscitated after cardiac arrest.
2. Confirm that the patient meets the criteria for therapeutic hypothermia (e.g., was comatose after cardiac arrest, received bystander CPR, and defibrillation).
3. Initiate cooling measures within the recommended time frame (ideally within 6 hours of resuscitation).
4. Use cooling blankets or ice packs to lower the patient's core body temperature to 32-34°C (89.6-93.2°F).
5. Monitor the patient's temperature continuously during the cooling process.
6. Maintain the target temperature for 24 hours.
7. Gradually rewarm the patient at a controlled rate, ensuring to monitor neurological status and vital signs.
8. Reassess the patient for any complications during treatment, including electrolyte imbalances and infections.

Who needs Therapeutic Hypothermia after Resuscitated Cardiac Arrest?

1. Patients who have suffered a cardiac arrest and are successfully resuscitated.
2. Patients who remain comatose (unresponsive) after resuscitation.
3. Patients who experience an initial shockable rhythm, such as ventricular fibrillation or pulseless ventricular tachycardia.

People Also Ask about

How to assess prognosis after cardiac arrest and therapeutic hypothermia?

The multimodal approach to assess prognosis in comatose survivors after cardiac arrest treated with hypothermia should ideally include neurological examination combined with the use of electroencephalography (EEG) and somatosensory-evoked potentials (SSEPs), the measurement of biomarkers (neuron-specific enolase (NSE)

When to start therapeutic hypothermia?

Key Points. Neuroprotection in babies ≥ 35 weeks gestation with moderate to severe hypoxic ischaemic encephalopathy (HIE) is optimised by commencing therapeutic hypothermia treatment as soon as possible after resuscitation, between 1-6 hours of life.

When should therapeutic hypothermia be started?

Enhancing Healthcare Team Outcomes Therapeutic hypothermia involves critical time-sensitive management. A therapeutic window of 6 hours from birth is crucial. The healthcare team should be aware of therapeutic hypothermia's exclusion criteria.

When to start targeted temperature management?

TTM should be induced and maintained at the selected target temperature for 24 hours, and rewarmed gradually at a rate not faster than 0.5°C per hour. Every hour of delay in TTM after ROSC increases mortality by 20%. Thus, TTM should be initiated as soon as possible after ROSC.

Who is a candidate for therapeutic hypothermia?

Therapeutic hypothermia can help only some people who have had cardiac arrest. Some people regain consciousness right after cardiac arrest. These people often don't need this procedure. It's helpful only for people whose heartbeat returns after a sudden cardiac arrest.

What are the criteria for hypothermia therapy?

Criteria for Therapeutic Hypothermia Apgar ≤5 at 10 minutes or continued need for resuscitation with positive pressure ventilation +/- chest compressions at 10 minutes of age. Any acute perinatal event that may result in HIE (i.e. abruption placenta, cord prolapse, severe foetal heart rate abnormality.).

What is the recommended TTM after cardiac arrest?

We recommend that comatose adult patients with ROSC after cardiac arrest have TTM between 32-36o Celsius.

What is the cost effectiveness of therapeutic hypothermia after cardiac arrest?

In our model, postarrest patients receiving therapeutic hypothermia gained an average of 0.66 quality-adjusted life years compared with conventional care, at an incremental cost of $31 254. This yielded an incremental cost-effectiveness ratio of $47 168 per quality-adjusted life year.

For pdfFiller’s FAQs

What is Therapeutic Hypothermia after Resuscitated Cardiac Arrest?

Therapeutic hypothermia after resuscitated cardiac arrest is a medical treatment that involves intentionally lowering the body temperature to preserve neurological function after a cardiac arrest. This process helps to reduce brain injury caused by a lack of blood flow.

Who is required to file Therapeutic Hypothermia after Resuscitated Cardiac Arrest?

Healthcare providers involved in the treatment of a patient who undergoes therapeutic hypothermia after resuscitated cardiac arrest are typically required to file the relevant documentation. This may include emergency personnel, hospital staff, and medical professionals overseeing the patient's care.

How to fill out Therapeutic Hypothermia after Resuscitated Cardiac Arrest?

Filling out the therapeutic hypothermia documentation involves collecting and recording patient data such as the time of cardiac arrest, time of initiation and cessation of cooling, temperature readings, duration of hypothermia, complications, and patient outcomes. Accurate and detailed information is critical.

What is the purpose of Therapeutic Hypothermia after Resuscitated Cardiac Arrest?

The purpose of therapeutic hypothermia is to protect the brain and other vital organs from damage that occurs due to reduced blood flow and oxygen supply during cardiac arrest. By lowering body temperature, the treatment helps minimize cellular metabolism and inflammation, potentially improving survival and neurological outcomes.

What information must be reported on Therapeutic Hypothermia after Resuscitated Cardiac Arrest?

The information that must be reported includes the patient's identification details, time of cardiac arrest, the time therapeutic hypothermia was initiated and terminated, target and actual body temperature achieved, duration of hypothermia, any complications encountered, and the patient's neurological status after treatment.