Wednesday, June 12, 2019
Disseminating-Evidence Project Essay Example | Topics and Well Written Essays - 1500 words
Disseminating-Evidence Project - Essay ExampleConversely, induced hypothermia can also occur through non-invasive means, typically involving the use of a chilled water blanket, leg wraps or torso vests placed in direct contact with the skin of the patient. Previously conducted studies indicate that patients with the potential risk for ischemic idea injuries have immense chances arrogant outcomes when treated with an induced hypothermia protocol (Binks et al. 2010). This paper will examine the medical protocol of induced hypothermia, discussing its inherent advantages on neurological outcomes. The paper will put up an account of induced hypothermia, describing the different protocols and effects of hypothermia on the human brain. The paper will culminate with a comprehensive dissemination plan that entails a round-table conference discussion. Since its inception, induced hypothermia protocols have proved quite effective. Background Medical practitioners have applied hypothermia th erapeutically since ancient times. The history of induced hypothermia dates as far bottom as the Hippocrates era although the first published medical article on induced hypothermia was in 1945. The worlds initial modern doctor i.e. classic physician Hippocrates endorsed the packing of injured soldiers using ice and snow. Napoleonic surgeon Dominique Jean Larrey observed that officers unplowed near fire had lower survival chances than officers kept in cold environments. The study first published in 1945 focused on the impacts of hypothermia on patients affected by head injuries. In the mid twentieth century, hypothermia obtained its initial medical natural covering used in intracerbal aneurysm surgery with a view to establish a bloodless field. Notably, most of the initial query into induced hypothermia concentrated on the application of deep hypothermia i.e. applications of body temperatures between 20-25 C. This extreme drop in body temperature produces an array of effects that made the application of deep hypothermia quite impractical. The 1950s also saw intense investigation of mild forms of induced hypothermia, i.e. 32-34 C. During this period, Dr. Rosomoff exemplified in dogs the advantages of mild hypothermia pursuant to a traumatic brain injury or ischemia. Researchers conducted further animal studies in the 1980s showing the capacity of mild hypothermia to function as a general neuroprotectant, especially after(prenominal) impediment of blood flow to the brain (Sessler, 2005). In 1999, after a skiing accident Anna Bagenholms heart stopped beating for at least(prenominal) three hours during which her body temperature was 13.7 C prior to resuscitation. In addition to animal studies, as well as Anna Bagenholms misfortune, there have been at least two landmark studies published in 2002 in the New England Journal of Medicine. Both studies demonstrated the benefits of applying mild hypothermia following a cardiac arrest. Subsequently, in 2003, the worl d(prenominal) Liaison Committee on Resuscitation (ILOR) and the American Heart Association (AHA) endorsed the application of mild hypothermia after cardiac arrest. Presently, a growing number of hospitals worldwide arrest the recommendations of AHA/ILCOR and embrace hypothermic protocols in their standard care packages for patients who suffer cardiac arrest. Certain researchers further contend that induced hypothermia is a better neuroprotectant after obstruction
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