This website uses cookies to ensure you have the best experience. Learn more

Mild Therapeutic Hypothemia In Improving Patient Outcomes

1297 words - 6 pages

The purpose of this paper is to review and evaluate two recent studies, published within the last 5 years, conducted on mild therapeutic hypothermia induction in relation to the cardiac and vascular circulation. One article tested and evaluated the effects of mild hypothermia therapy on patients with cardiogenic shock after resuscitation from an out-of-hospital cardiac arrest. The other study provides some insights on hypothermia therapy on cardiac index of postoperative cardiac surgical patients after iced and room-temperature injectates during hypothermic and normothermic body temperatures. Furthermore, since prior studies have concluded that mild hypothermia inductions contributed to improving long-term neurological outcomes, each article discusses the significant benefit of utilizing therapeutic hypothermia, specifically in increasing survival rate after an out-of-hospital sudden cardiac arrest.
According to Joint Commission in 2011, over 290,000 people in the United States experience sudden cardiac arrest each year. The survival rate of victims remains low, and the risk for recurrence yet remains a significant concern for most survivors, where only 7%–8.5% survive (Joint Commission, 2011). If resuscitation efforts fail to restore cerebral blood circulation within minutes of cardiac arrest, hypoxia may lead to permanent brain injury. Even if circulation is restored, secondary brain damage can occur from direct tissue injury or blood–brain barrier disruption (Michelle et al, 2011). Thus, in an attempt to improve survival rates, prevent permanent neurologic injury and reduce mortality for survivors of cardiac arrest, clinical experiments have shown that a mild hypothermia state of about 32°C to 34°C reduces metabolic and oxygen consumption (Michelle et al, 2011). In addition, it also counteracts neuroexcitation, stabilizes the blood-brain barrier, and suppresses the inflammatory process, and this all in turn markedly improve patient outcomes (Michelle et al, 2011).
In a study article by Zobel et al (2012), the researcher team aimed on testing the hypothesis that cardiogenic shock patients might benefit from mild therapeutic hypothermia. Despite advances in resuscitation and early revascularization strategies, mortality rate from cardiogenic shock after out-of-hospital cardiac arrest have not changed much (Zobel et al. 2012). Since a number of studies suggested mild therapeutic hypothermia helps reduce mortality in cardiac arrest survivors, this research team conducted their study to determine the effects of mild therapeutic hypothermia in patients with cardiogenic shock after resuscitation from out-of-hospital cardiac arrest (Zobel et al. 2012).
The researchers investigated the hemodynamic effect of 20 consecutive patients treated with hypothermia after admitted for cardiogenic shock and compared the results with a control group of 20 historic propensity-scored patients treated under normathernic condition in an emergency medical center...

Find Another Essay On Mild Therapeutic Hypothemia in Improving Patient Outcomes

Mild Therapeutic Hypothermia Essay

1836 words - 7 pages Introduction Mild Therapeutic Hypothermia to Improve the Neurologic Outcome After Cardiac Arrest written by Michael Holzer, MD (2002) conducted research to determine if mild systemic hypothermia after resuscitation from cardiac arrest resulting from ventricular fibrillation improves neurologic recovery. Cardiac arrest is known to lead to brain ischemia in a short amount of time; by cooling the body the hope is to preserve the brain on a

Psorasis Essay

3950 words - 16 pages above was used during a study of a medical literature and consultation with panel of expert clinicians. As you see the model starts with the primary selection of topical therapy for a patient with mild to moderate psoriasis. "Two therapeutic consequences are then possible: either primary treatment success or primary treatment failure. Primary results in either a durable response leading to cessation of drug treatment or recurrence of disease in

effective communication

1015 words - 5 pages The main focus in the delivery of health care is to improve patients’ state of health and quality of life. In many cases effective communication would lead to both patient compliance and patients fulfillment can benefit positive outcomes for both patient and the health care team. Many times nurses aid in managing all the obvious medical complaints of the patients, however, they fail to grab the underlying triggers of the disease due to


984 words - 4 pages Recent studies have shown patients suffering from cardiac arrest are treated with mild therapeutic hypothermia is now recognized as standard therapy in patients resuscitated from out-of-hospital cardiac arrest (OHCA) leading to unexpected death 1 in 1500 adults each year in this hi tech world (Zheng et al 2001). Therapeutic hypothermia (TH) may increase survival and reduce the amount of neurologic damage after cardiac arrest. According to the

Therapeutic Touch : Its Effectiveness On Surgical Incision Site Pain

2528 words - 10 pages comfort for a longer time, which eventually may decrease the hospital stay and decrease nursing work.". The author states that more research may need to be done with a larger sample and a wider range of patient stressors to further support the use of therapeutic touch in a clinical setting. She used a sample of thirty children ages two weeks to two years old.      In the next study, done by Patricia R. Heidt, RN, PhD

Therapeutic Touch, its effectiveness on surgical incision site pain

2723 words - 11 pages support the use of therapeutic touch in a clinical setting. She used a sample of thirty children ages two weeks to two years old.In the next study, done by Patricia R. Heidt, RN, PhD, 'Helping patients to rest: Clinical studies in therapeutic touch'(1991), she studied patients who wanted help with pain relief. Her main reason for this was to increase the 'descriptive data on patient care' so further research could be done and therapeutic touch

The importance of Effective Communication in Health-Care

2065 words - 8 pages observations provided by this journal reaffirmed how understanding the basic principles of communication should be a paramount skill of any nurse. However, many barriers can disrupt therapeutic communication, and comprehensive assessment is necessary in order to determine the culture, religion, education background, and socioeconomic status of the patient (Finke et al., 2008) Patient centered communication empower nurses with the necessary

Psychology and Burns

2146 words - 9 pages confidence in offering support for appearance concerns and in promoting effective coping strategies for social situations. This might have been enhanced through the development of the Improving Access to Psychological Therapies (IAPT) programme which strengthens the quality of psychological therapy services through NICE compliant treatment integrated into patient pathways with outcomes that are routinely monitored using clinical and service indicators

Hypothermia therapy

1508 words - 7 pages Therapeutic hypothermia The use of Therapeutic hypothermia for treatment of patients with potential ischemia has been around for around for about 70 years. After fading into and out of popularity for the past half century, therapeutic hypothermia has reemerged as a state of the art lifesaving tool in the fight of a potentially hypoxic brain injury. Even though the evidence to the support this treatment is growing, more research is needed to

Importance of a Therapeutic Relationship in Nursing

1506 words - 6 pages further communication (Boc and Franklin, 2013). It is therefore important to ensure that the nurse understand the roles that their interpersonal skills play within the nurse-patients interaction/relationship. Therapeutic relationship has been linked with better outcomes when it has been established; clients feel and increase in empowerment that results in adherence and improved healing. Establishing a therapeutic relationship begins initially

Quality and Safety Education for Nurses

996 words - 4 pages movement. Many times, by bringing them to the individual level and addressing the patient’s underlying conditions they will achieve safe and effective outcomes of patient’s treatments and promote an avenue of satisfaction. This interacting process and patient centered communication are necessary tools to help create the atmosphere that focuses on improving physical and emotional health of patients and should always be a priority in the delivery of

Similar Essays

Information System In An Integrated Multidisciplinary Health Care Team: A Strategy For Improving Patient Care

1021 words - 5 pages integrated IT (information technology) system.  To propose appropriate changes to the organisation. Research Questions. In order to achieve the mentioned objectives above and throw more light to the topic, attempted answers need to be given to the following questions. • What effect does integrated care plan have on a patient- centred IT system? • What are the current ways in which co-ordination of care delivery is achieved? • What IT system does the

Hypothermia Therapy For Myocardial Infarction Essay

2639 words - 11 pages be used to improve existing treatment protocols for this patient populations, design education programs for nurses to follow, and provide more research data on this subject for future research studies. Despite the demonstrated benefits of therapeutic hypothermia treatment in recent studies, patients eligible for this treatment after cardiac arrest do not receive it. The lack of knowledge about hypothermia treatment by some intensive care nurses

Communication Techniques And Skills Used During The Initial Interview Process To Promote Therapeutic Nurse Client Relationships

1692 words - 7 pages interaction with clients as I have learnt that the nurse-client relationship will not always come naturally and is a skill that I must be aware of improving for the benefit of my clients. As discussed, therapeutic nurse-client relationships are an ideal relationship to promote between nurses and clients as this form of relationship contributes to client satisfaction with care while optimising clinical outcomes, encouraging client contribution and

Theraputic Hypothermia Essay

1939 words - 8 pages months later with the use of the Glasgow Outcome Scale. The demographic characteristics, causes, and severity of injury were similar in the hypothermia group and the normothermia groups. At 12 months 62% of the patients in the hypothermia group and 38% in the normothermia had good outcomes (moderate, mild, or no disabilities). The researchers concluded that “Treatment with moderate hypothermia for 24hours in patients with