This final video looks at post-resuscitative care. This includes proper management of blood pressure, blood sugar, treatment of coronary artery disease and initiation of therapeutic hypothermia.
So I focus mostly on that last one: pay attention mostly to how to induce it and in whom you’d induce it.
Very interesting concept. I have never learned about therapeutic hypothermia in a post ACLS patient before. Thanks for the introduction! I find it especially interesting that you inhibit the natural response mechanism to hypothermia with fentanyl
So rewarming would include doing the opposite — any particular order/technique? Stop fentanyl, warmed IVF at the same rate, and warm blankets/bair hugger?
Only had a chance to see this utilized once thus far on rotation, thank you very much for helping explain the concept behind it.
It was particularly helpful to see the complications in terms of increased coagulation, decreased immune function, and hyperglycemia with cooling.
Good video for a topic I’ve had little exposure to on rotations. I was also unaware that patients can become coagulopathic as a complication of therapeutic hypothermia. Very interesting.