rotocolforInducedTherapeuticHypothermiapostcardiacarrest诱导低温治疗心脏骤停后协议

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1、ProtocolforInducedTherapeuticHypothermiapostcardiacarrestForuseincriticalcarebyqualifiedhealthcarepractitionersBACCNConferenceSeptember2010SarahWallace,RGN,BSc(Hons)GloucestershireHospitalsNHSFoundationTrust,GloucesterRoyalHospiatalProtocolforInducedTher

2、apeuticHypothermiapostcardiacarrestCurrentlyunderjournalpublicationsubmissionprocessforNursinginCriticalCare-BACCNAimofteachingsessionDiscusswhatisaprotocolandwhyshouldcliniciansfollowonePathophysiologyofcardiacarrestWhatisandwhyinducehypothermiaAwarenes

3、sofphysiologicconsequencesofhypothermiaandassociatedtreatmentrisksManagementtechniquesforcoolingandre-warmingpatientsIntroductionofProtocolforinducedtherapeutichypothermiapostcardiacarrest(includingtreatmentguidelinesandappropriatenursinginterventions)Cl

4、inicalgoalsofNeuromuscularBlockade(NMBA)ComplicationsofhypothermiaWhatisaprotocolAprotocolisaframeworktosupportindividualsorgroupsofstafftocarryoutinterventionsandisrelatedtothespecificskillsandknowledgerequired.Itdescribesspecificintent,plansorprocesses

5、,andspecifiesthecriteria/boundarieswhichmustbeadheredtoandisunderpinnedbyevidencebasedinformationorpractice(GlosHospitalsNHSFoundationTrust(2005)TrustPoliciesFramework)WhyshouldwefollowaprotocolToimprovethequalityofclinicalcarebyusingastandardisedapproac

6、h,ensuringuniformityandsafety(Feldbergetal2001)(Broccard,2006)(Cushmanetal,2007)Toprovideastructureforclinicianswhenplanningcareforindividualpatients(Cushmanetal,2007)Tofollowacareplanbasedonthebestpossibleresearchevidence(Topjian&Nadkarni,2006)Toassesst

7、heclinicaleffectiveness/safetyoftreatment/sandapproaches(NationalInstituteforHealthandClinicalExcellence(NICE)ClinicalPracticeGuidelines)(Hoeksel,2002)Researchhassuggestedcoolingpostarrestfromacardiacaetiologymayimproveoutcomeandimplementationofaprotocol

8、maydecreasemortalityrate(Arrich,2007)(Zeitzer,2005))Tosuccessfullyapplyinducedhypothermia,theclinicianshouldhaveexperienceinusingandadherencetoastrictprotocol,vigilanceandpayattentiontothepreventionofsideeffectstothepatien