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Treatment of hypothermia arrest
Treatment of hypothermia arrest
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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 cellular level. The author cites many preliminary studies with positive results in patients treated with mild hypothermia post-arrest comparing their outcomes favorably to historical controls. His background from the Emergency Department at the Medical University of Vienna provides firsthand experience with patients presenting with cardiac arrest. The critique of this article was formatted by Vlatente (2003) and Burns (2009).
Holzer’s study included 275 patients with the majority, 77%, being male for unknown reasons; half were treated with hypothermia and half with conventional normothermia techniques. This is a reasonably large study for the subject matter and strict inclusion criteria. A total of 3,551 patients were screened to find the 275 that were eligible. The groups were assigned in a randomized controlled fashion with a blind assessment post-study. The abstract provided in the article displayed a good amount of information with a clear and concise background statement. Within the abstract, the methods discussed were exactly as conducted in the study and the means of measurement and results were reported as well. The problem and purpose for the study were established early in the introduction. Findings and conclusions were predictable from early on from the author’s strong int...
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...ses using this study as a base for future research and development. Any condition that affects cerebral functioning, such as stroke or myocardial infarction could possibly benefit from hypothermia treatment as a neuroprotective agent. With clearly statistically significant data from this excellently conducted study, provided it can be repeated, could serve as a base for integrating this technique into standards of care.
References
Burns, N., & Grove, S. K. (2009). The practice of nursing research: Appraisal, synthesis, and generation of evidence. St. Louis, MO: Saunders Elsevier.
Holzer, M. (2002). Mild therapeutic hypothermia to improve the neurologic outcome after
cardiac arrest. The New England Journal of Medicine, 346(8), 549-556.
Valente, S. (2003). Critical analysis of research papers. Journal for Nurses in Staff
Development, 19, 130-142.
Maintaining normal core body temperature (normothermia) in patients within perioperative environments is both a challenging and important aspect to ensure patient safety, comfort and positive surgical outcomes (Tanner, 2011; Wu, 2013; Lynch, Dixon & Leary, 2010). Normorthermia is defined as temperatures from 36C to 38C, and is maintained through thermoregulation which is the balance between heat loss and heat gain (Paulikas, 2008). When normothermia is not maintained within the perioperative environments, and the patient’s core body temperature drops below 36C, they are at risk of developing various adverse consequences due to perioperative hypothermia (Wagner, 2010). Perioperative hypothermia is classified into three
Inadvertent perioperative hypothermia is a common anesthesia-related complication with reported prevalence ranging from 50% to 90%.(ref 3,4 of 4) The clinical consequences of perioperative hypothermia include tripling the risk of morbid myocardial outcomes and surgical wound infections, increased blood loss and transfusion requirements, and prolonged recovery and hospitalization.(ref 5)
Loiselle, C. G., Profetto-McGrath, J., Polit, D. F., Beck C. T., (2007). Canadian essentials of nursing research (2nd ed.) Philadelphia: Lippincott Williams & Wilkins.
There is high risk of death and poor neurological function with unconscious survivors in out of hospital cardiac arrest. Trails were undertaken with the patients after awakening from cardiac arrest, which was compared with Ther...
While the respiratory and cardiovascular systems are most reliant on one another, all body systems require a functioning circulatory cycle in order to thrive. Blood circulation and consistent transfer of oxygen to cells is required to maintain cell and tissue life. Disturbances to this process will cause cells and tissues to die (Red Cross 48). This state of balance and functioning body systems is referred to as homeostasis, defined as a “condition of equilibrium in the body’s internal environment due to constant interaction of body’s many regulatory processes” (Tortura 8). Changes or disruptions to homeostasis are regulated by the Endocrine and Nervous systems of the body. The endocrine system is made up of glands placed throughout the body
LoBiondo-Wood, G., & Haber, J. (2014). Nursing Research: Methods and Critical Appraisal for Evidence-Based Practice (8th ed.). St. Louis, MO: Elsevier, Inc.
The purpose of this report is to compare and contrast two different nursing research articles. The report will critique and evaluate two qualitative studies, one being an original research report and the second being a review paper. The scope of comparison and contrast will include research design, theories or conceptual models, how the research was conducted, analysis and reporting of research data, usefulness of the research, and a conclusion.
Polit, D. F. & Beck, C. T. (2012). Nursing research: Generating and assessing evidence for nursing practice (9th ed.). Philadelphia: Lippincott.
The World Health Organisation (2013) explains that an Ischaemic stroke occurs as a result of a blood vessel becoming blocked by a clot, reducing the supply of oxygen to the brain and, therefore, damaging tissue. The rationale for selecting Mary for this discussion is; the author wishes to expand her evidenced based knowledge of stroke since it is the principal cause of disability and the third leading cause of mortality within the Scottish population (Scottish Intercollegiate Guidelines Network (SIGN), 2008) and, therefore, a national priority. In response to this priority, the Scottish Government (2009) produced their ‘Better Heart Disease and Stroke Care Action Plan’. Additionally, they have introduced a HEAT target to ensure 90% of stroke patients get transferred to a specialised stroke unit on the day of admission to hospital (Scottish Government, 2012).
Nursing research is a systematic enquiry that seeks to add new nursing knowledge to benefit patients, families and communities. It encompasses all aspects of health that are of interest to nursing, including promotion of health, prevention of illness, care of people of all ages during illness and recovery (or) towards a peaceful and dignified death (ICN 2009)
Burns, N., & Grove, S. K. (2011). Understanding nursing research: building an evidence-based practice (5th ed.). Maryland Heights, MO: Elsevier/Saunders
Polit, D., & Beck, C. (2006). Essentials of nursing research: appraising evidence for nursing practice (7th ed.). Phildelphia: Lippencott Wilkins & Williams.
Cullum, N. Ciliska D. and R. Haynes, Marks (2008;) Evidence – based Nursing: An Introduction.
Polit, D. F., & Beck, C. T. (2010). Essentials of Nursing Research (7th ed): Lippincott, Williams & Wilkins.
Burton, A. (2000) Reflection: nursing’s practice and education panacea? Journal of Advanced Nursing; 31: 5, 1009–1017.