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Intravascular Temperature Management During Burn Surgery
Intravascular Temperature Management During Burn Surgery

... prolonged hospitalization [resource utilization and costs], decreased platelet function [coagulopathic blood loss], increased likelihood of blood transfusions [greater transfusion risks and limited resource utilization] and decreased metabolism [prolonged drug effect]. Prevention of these sequelae i ...
San Angelo Hypothermia Weingarten 2016
San Angelo Hypothermia Weingarten 2016

... • Reperfusion can exacerbate cerebral edema, initiate destructive chemical cascades, and alter the inflammatory response with further tissue injury • Result is compromised neurological function after successful resuscitation from a cardiac event ...
Therapeutic Hypothermia After Cardiac Arrest Protocol 09
Therapeutic Hypothermia After Cardiac Arrest Protocol 09

... A. The etiology of anoxic brain injury involves an inflammatory cascade that occurs after restoration of cerebral perfusion. Induction of hypothermia in cardiac arrest survivors is thought to reduce the damage from this inflammatory cascade, as well as reduce cerebral oxygen requirements. B. Hypothe ...
Winthrop University Hospital Hypothermia Protocol
Winthrop University Hospital Hypothermia Protocol

... expenditure is likely detrimental to the metabolic status of the acutely injured brain.  When using conventional surface cooling or with the Arctic Sun device it is necessary to control shivering with the use of specific anti-shivering/sedative medications.  If shivering can not be controlled, par ...
fox chase cancer center - University of Pennsylvania
fox chase cancer center - University of Pennsylvania

... i. The prolonged use of meperidine (more than 2 doses at onset of  therapeutic cooling) is discouraged.  The metabolite  normeperidine contributes to seizures.  The levels of this  metabolite are increased during cooling due to decreased drug  clearance.  d. It may be difficult to achieve target tem ...
HYPOTHERMIA (MILD) TREATMENT
HYPOTHERMIA (MILD) TREATMENT

... 2.2 It is recommended that all patients requiring the use of a warming system for treatment of mild hypothermia be cared for in an area that can meet the monitoring requirements. Some disease process / conditions lead to chronic hypothermia ...
therapeutic hypothermia
therapeutic hypothermia

... ventricular fibrillation or non perfusing ventricular tachycardia as the initial cardiac rhythm a presumed cardiac origin of the arrest, an age of 18 to 75 years, an estimated interval of 5 to 15 minutes from the patient’s collapse to the first attempt at resuscitation by emergency medical ...
fox chase cancer center - University of Pennsylvania
fox chase cancer center - University of Pennsylvania

... i. The prolonged use of meperidine (more than 2 doses at onset of therapeutic cooling) is discouraged. The metabolite normeperidine contributes to seizures. The levels of this metabolite are increased during cooling due to decreased drug clearance. d. It may be difficult to achieve target temperatur ...
RTC HYPOTHERMIA - The American Association for the
RTC HYPOTHERMIA - The American Association for the

... • A new hypothermia clinical trial focusing on adult patients younger than 45 with severe TBI was initiated. This trial emphasizes the use of early cooling and the more consistent monitoring of patient management from the various centers. Recently,this multicenter hypothermia TBI trial was stopped b ...
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Targeted temperature management

Targeted temperature management (TTM) previously known as therapeutic hypothermia or protective hypothermia is 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. This is done in an attempt to reduce the risk of tissue injury from lack of blood flow. Periods of poor blood flow may be due to cardiac arrest or the blockage of an artery by a clot as in the case of a stroke.Targeted temperature management improves survival and brain function following resuscitation from cardiac arrest. Evidence supports its use following certain types of cardiac arrest in which an individual does not regain consciousness. Both 33 °C (91 °F) and 36 °C (97 °F) appear to result in similar outcomes. Targeted temperature management following traumatic brain injury has shown mixed results with some studies showing benefits in survival and brain function while other show no clear benefit. While associated with some complications, these are generally mild.Targeted temperature management is thought to prevent brain injury by several methods including decreasing the brain's oxygen demand, reducing the production of neurotransmitters like glutamate, as well as reducing free radicals that might damage the brain. The lowering of body temperature may be accomplished by many means including the use of cooling blankets, cooling helmets, cooling catheters, ice packs and ice water lavage.
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