Wednesday, June 19, 2019
Therapeutic Hypothermia Essay Example | Topics and Well Written Essays - 2500 words
Therapeutic Hypothermia - Essay ExampleThis is so because paramedics who usually capture to treat such patients initially do not have sufficient therapeutic means to stymie this neurologic damage process during ischemic conditions. pocket-sized hypothermia () have been generate in patients with cardiac arrest as a therapeutic means for protecting the brain once morest the global ischemia that usually accompanies open-heart surgical process (Nolan et al, 2003). This therapeutic means was available since the late 1950s after which it was discontinued for some time because there was indefinite indication of benefits to patients (Nolan et al, 2003). Much later, this means has again been reintroduced in the context of cardiac arrest for a select group of patients and there are positive indications that when this therapeutic means is used after lead of spontaneous circulation after cardiac arrest there is improved functionality and preemption from histological defects to the brain. Th is is true of a number of animal models, including the human one (Nolan et al, 2003). ... gh plastered and complex inclusion criteria in Europe and Australia has established that neurological outcomes (ability to live independently and work at least part-time, etc.) are selectively available for groups of patients destitute from certain pathological complications (Nolan et al, 2003). Nevertheless, there are signifi hobot adverse effects that entail more research on the treatment option (Nolan et al, 2003). Mechanisms of action of induced moderate/mild hypothermia primarily include reduction of cerebral metabolic rate for oxygen 6% for every degree (Celsius) fall in temperature . This reduces chances of mitochondrial damages and apoptosis from decreased production of free radicals, excitatory amino acids and calcium shifts (Nolan et al, 2003). External change techniques to induce mild to moderate hypothermia include use of cooling blankets, application of ice packs to groin, axi llae and neck, use of wet towels and fanning and use of cooling helmets (Nolan et al, 2003). Recent internal techniques such as intravenous infusion of crystalloids and intravascular heat exchange devices are beginning to become available (Nolan et al, 2003). Since it is found that though extracorporeal techniques are efficient they are too invasive for use in prehospital treatments and most emergency departments this writing shall now discuss research on introducing a hypothermia therapeutic technique that is internal, safe, easily administrable out-of-hospital and cheap and includes infusion with selective crystalloids like common salt. This following(a) section shall be deemed as the problem statement of the paper.Problem StatementAs has already been mentioned, the need for an internal technique that is not invasive and that can be performed safely and cheaply out of hospital and
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