Theraputic Hypothermia Essay -- Health Medicine Medical Essays Researc

Theraputic Hypothermia Hypothermia, defined as a core frame temperature less than 95 F(35C) occurs when genus Oestrus loss exceeds the bodys heat production. (Ruffolo p.47) Thermal stability in humans depends on the bodys ability to adapt to changes in internal and external temperatures. Heat is transferred passim tissues and fat, and is released at a rate directly related to the temperature of the environment with radiation, conduction, convection, and evaporation.Hypothermia is typically seen as a bad thing however, various studies father beenproving it to be very useful. Traumatic brain injury initiates several metabolic processes that can exacerbate the injury. There is evidence that hypothermia may limit several(prenominal) of these deleterious metabolic responses. In a randomized controlled trial researchers compared the strength of moderate hypothermia and normhypothermia in 82 patients with arduous closed head injuries (score of 3 to 7 on the Glasgow Coma Scale) The patients assigned to hypothermia were cooled to 33 degrees C an amount of 10 hours after injury, kept at 32 degrees to 33 degrees C for 24 hours, and then re-warmed. A specialist in physical care for and rehabilitation who was unaware of the treatment assignments evaluated the patients 3, 6, and 12 months later with the use of the Glasgow publication Scale. The demographic characteristics, causes, and severity of injury were similar in the hypothermia group and the normothermia groups. At 12 months 62% of the patients in the hypothermia group and 38% in the normothermia had well behaved outcomes (moderate, mild, or no disabilities). The researchers concluded that Treatment with moderate hypothermia for 24hours in patients with severe traumatic brain injury and coma scores of 5 to 7 hastened neurological recovery and may have improved the outcome. (Marion et all)Two studies do (one in Australia and the other in Europe) showed the therapeutic value in survivors cardiac arrest. In the Australian study, which involved 77 patients who remained comatose after the takings of spontaneous circulation, 49% of those treated with hypothermia were discharged home or into a rehabilitation facility compared to the 26% of those not treated with hypothermia. There were no significant differe... ...tion fluids, preparation solution, or baths can contribute to heat loss. Ruffolo dehydration is the transfer of heat to the air from moist skin or mucose membranes. It occurs through wet skin, open body cavities and the respiratory tract. References (Works Cited)Ruffolo, Daria. www.rnweb.com. Vol. 65 no(prenominal) 2. February 2002 Marion, DW et all. Treatment of traumatic brain injury with moderate hypothermia, University of Pittsburgh Medical Center.Safar, incision & Patrick Kochanek. Therapeutic Hypothermia After Cardiac Arrest. spick-and-span England Journal of Medicine, February 21, 2002 p.612-613Holzer, Michael. flaccid Therapeutic Hypothermia To Improve The Neurolo gic Outcome After Cardiac Arrest. New England Journal of Medicine, February 21, 2002 p.549Clifton, Guy et all. Lack of Effect of Induction of Hypothermia After chills and fever Brain Injury New England Journal of Medicine. February 22, 2002. p.556Rose, Victoria. Children Recover Faster Than Adults From accidental Or Therapeutic Hypothermia. www.docguide.com. July 23, 2001Unknown Author, Reducing Brain Temperature May good At-Risk Newborns http//www.pslgroup.com/dg/4E73E.htm, December 17, 1997