Who is eligible for therapeutic hypothermia?

Therapeutic Hypothermia (TH) shall be initiated on all adult cardiac arrest patients with return of spontaneous circulation (ROSC) that fit the inclusion criteria, and does not have any of the following: eye opening to painful stimuli, pre-existing coma, traumatic arrest (either penetrating or blunt), body temperature …

What is the hypothermia protocol?

In most centers, the patient is actively cooled by using an induced hypothermia protocol for 24 hours to a goal temperature of 32ºC-36ºC. The goal is to achieve the target temperature as quickly as possible. In most cases, this can be achieved within 3-4 hours of initiating cooling.

When do you initiate targeted temperature management?

Targeted temperature management should be started as soon as possible. The goal temperature should be reached before 8 hours. Targeted temperature management remains partially effective even when initiated as long as 6 hours after collapse.

How do you induce therapeutic hypothermia?

In general, two methods of induced hypothermia are used currently: surface cooling and endovascular cooling. Surface cooling methods include convective air blankets, water mattresses, alcohol bathing, cooling jackets, and ice packing. Surface cooling techniques have been used for many years in the treatment of fever.

When is induced hypothermia used?

Induced hypothermia aims to avoid the complications associated with hypothermia. It is principally used in comatose cardiac arrest survivors, head injury, and neonatal encephalopathy. The mechanism of action is thought to be mediated by prevention of cerebral reperfusion injury.

What is the body temperature of a person during induced hypothermia?

Induction of hypothermia is the process in which a target core temperature of 32 to 34 degrees Celsius is reached as quickly as possible.

Why is induced hypothermia used for patients?

Why would you induce hypothermia?

What is the only contraindication for targeted temperature management?

Further, they recommend selecting and maintaining a constant temperature between 32 degrees C and 36 degrees C during TTM. Absolute contraindications to TTM are an awake and responsive patient, DNR, active non-compressible bleeding and the need for immediate surgery.

How long is therapeutic hypothermia?

Unconscious adult patients with spontaneous circulation after out-of-hospital cardiac arrest should be cooled to 32°C to 34°C for 12 to 24 hours when the initial rhythm was VF. Such cooling may also be beneficial for other rhythms or in-hospital cardiac arrest.

How long does it take to wake up after therapeutic hypothermia?

The therapeutic hypothermia will likely last around 24 hours. The medical team will slowly rewarm you over several hours. They may set cooling blankets at gradually warmer temperatures. In some cases, they may also use rewarming devices.

Why is hypothermia protocol used?

Therapeutic hypothermia is a type of treatment to lower the body temperature. This reduces injury and long-term problems. It’s sometimes used for people who have a cardiac arrest. Cardiac arrest happens when the heart suddenly stops beating.