Adopting a structured preventative maintenance program is important to any healthcare facility. Here are some of the reasons why:
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Quite commonly, when patients are in the OR for longer than an hour, some form of whole body warming may need to be used to maintain normothermia.
As we continued our podcast interview with Jennifer Norgaard RN, a NICU clinical nurse specialist at a level IV NICU in California, she was informing us that the therapeutic hypothermia process for neonates is similar to that of adults following cardiac arrest when the question arose, "What can you do if your facility does not have a Level 3 or 4 NICU?"
Protecting patients in the Operating Room (OR) is a priority for any medical professional. Every task done is designed to help or reduce risks. Sanitation and sterilization help or reduces germs. Anesthesia helps or reduces pain and movement. High-tech procedures help eliminate organ damage and scarring, but what additional injury might happen during the procedure?
TTM After Stroke, Intra-Cerebral Hemorrhage, and Subarachnoid Hemorrhage
The panel found very little evidence to support the use of TTM in the hypothermic range in these clinical settings. Their recommendations for this group were all in the expert opinion category.
Because fever is a common complication in these situations and associated with poorer outcomes, the panel recommended using TTM for normothermia in severe ischemic stroke.
New Recommendations for Use of Targeted Temperature Management in Critical Care Settings
For intensivists seeking guidance, a recent report in the Annals of Intensive Care gives detailed recommendations on the use of targeted temperature management (TTM) for critically ill patients. The report, co-authored by several groups of French physicians, examines the evidence of TTM in a variety of clinical situations, provides 30 specific recommendations, and rates the strength of evidence supporting each recommendation. The result is a thorough yet practical set of guidelines for front-line practitioners.
Dear High-Acuity and Critical Care Nurses,
Thank you for saving my life.
I’m not exaggerating--you saved my life, and for that, I’m eternally grateful.
In April 2016, I had a heart attack. I was perfectly alert in the ER, but on the table in the cardiac cath lab, I went into a bad rhythm, then into cardiogenic shock. After that, I went into liver failure and kidney failure. Some heroic efforts were needed to save me, including a few days on an Impella pump. The medical team called in my family to “say goodbye,” but I fooled them and recovered. I spent 10 days in the cardiac care unit, 7 of them under such heavy sedation that I don’t remember anything from that week. Within a few months, I was back to work full time, resumed all my usual activities, and I thank God for each day I’m alive.
Education, Excellence, and Inspiration through the NTI Conference connections.
The American Association of Critical-Care Nurses will be conducting their 2018 National Teaching Institute & Critical Care Exposition at the Boston Convention and Exhibition Center in Boston, Massachusetts from May 20th to the 24th.
*This article is intended for educational purposes only and is not intended as medical advice or as a substitute for the medical judgment of a physician in evaluating patients. For more information, please review the information sources referenced in this article. For more information on CSZ, please visit our website or call us at 1-800-989-7373.