Intraoperative Hypothermia Essay

Purpose: The purpose of this speech is to educate and inform my audience of the risks inherent from unintended hypothermia. I’m eager to alert perioperative staff of the potential dangers as well as the preventative measures that can be taken in order to avoid complications associated with unintended hypothermia. My central idea is hypothermia management saves lives.

He then took samples of urine, blood, and mucous as body temperatures lowered. Through this tortured, Rascher used the data to create the hypothermia treatment called "active rapid rewarming." More than 90 people lost their lives for this medical advancement (Adams).

These procedures are not reported alone but as add-on codes used to identify extraordinary conditions of patients and their unusual risk factors. There are four kinds of certain codes used for particular circumstances which are: 1) Anesthesia for the age younger than one year and over the age of seventy (99100), 2) Anesthesia complicated by the utilization of total body hypothermia (99116), 3) Anesthesia complicated by the utilization of controlled hypotension (99135) and 4)Anesthesia complicated by emergency circumstances

The evidence surrounding the topic of therapeutic hypothermia post cardiac arrest is one lathered in potentially advantageous benefits, as well as harmful side effects. Although this procedure has potentially lifesaving and neurologically preserving implications, it does come with various side effects which can be dangerous in general or if left untreated. This paper will first address the many benefits, some of which include prolongation of life, retention of neurological function. It will then shed light upon some of the subsequent risks and harmful effects that are associated with therapeutic hypothermia. Lastly the paper will discuss why or why not the overall benefits outweigh the aggravating factors. Thus, being a topic of much controversy

It is possible that the Halothane triggered a genetically predisposed condition called “Malignant hyperthermia (MH)” in the patient Sharon who was having surgery on her knee.

Now reflecting upon the use of antipyretic treatments within the healthcare setting it could be seen as alarming to realise quite how often this treatment is used unnecessarily. Conducting this assignment has allowed an increased understanding of the benefit of maintaining a high temperature and has identified that in recent years we may have unknowingly been causing more harm by trying to reduce temperature.

Andrzejowski, J.; Hyle, J.; Eapen, G.; Turnbull, D. (2008), refers to review of literature of previous publications, such as the study by Vanni and colleagues. This study showed an notable effect of prewarming, but was flawed both by inadequate power (10 patients per group) and by having a control group that was significantly hypothermic before anesthetic induction. Two additional studies also showed a smaller decrease in core temperature during surgery after a period of prewarming, but neither study warmed patients intraoperatively A large randomized trial of prewarming, by Melling and colleagues involved more than 400 patients. Their study looked for differences in postoperative complications and showed a significant decrease in

They had to run so much tests and questions before surgery it was so annoying. Later I find myself laying in bed getting everything connected on me so I could go to the surgery room. They said it would take about thirty minutes to finish the process of the surgery. When they came to get me I literally started to scream “wheeeeee” in the hallway while they pulled me away from my room. As I entered the surgery room it became so cold that my breath could be visible. Later a guy started to explain to me on what their going to do and how they're going to put me on the

Hypothermia is not a widely used treatment due to risk for complications associated with hypothermia such as pneumonia, seizures and infection.

Hypothermia has two main types of causes. It classically occurs from exposure to extreme cold. Commonly this includes alcohol intoxication but may also include low blood sugar, anorexia, and advanced age. Hypothermia may be diagnosed based on either a person's symptoms in the presence of risk factors or by measuring a person's core temperature. One of the lowest documented body temperatures from which someone with accidental hypothermia has survived is in a near-drowning of a 7-year-old girl in Sweden. Survival after more than six hours of CPR has been described. Symptoms of mild hypothermia may be vague, Increased urine production due to cold, mental confusion, and hepatic dysfunction may also be present. Hyperglycemia may be present, as glucose consumption by cells and insulin secretion both decrease, and tissue sensitivity to insulin may be blunted. Sympathetic activation also releases glucose from the liver. In many cases, however, especially in alcoholic patients, hypoglycemia appears to be a more common presentation. Low body temperature results in shivering becoming more violent. Muscle mis-coordination becomes apparent. Movements are slow and labored, accompanied by a stumbling pace and mild confusion, although the person may appear alert. Surface blood

Hypothermia is a common problem in surgical patients. Up to 70% of patients experience some degree of hypothermia that is undergoing anesthetic surgery. Complications include but are not limited to wound infections, myocardial ischemia, and greater oxygen demands. The formal definition of hypothermia is when the patient’s core body temperature drops below 36 degrees Celsius or 98.6 degrees Fahrenheit. Thus, the purpose of the paper is to synthesize what studies reveal about the current state of knowledge on the effects of pre-operative warming of patient’s postoperative temperatures. I will discuss consistencies and contradictions in the literature, and offer possible explanations for the inconsistencies.

Hypothermia protocol for the post cardiac arrest patient has been an evidence based practice of this therapy for about a decade now. This intervention, often used in the critical care setting, is now expanding to primary emergency responders as well. This paper will present some of the notable research that has been done on therapeutic hypothermia, and current use of this intervention.

The second article I found was “Intraoperative Cardiac Arrest in Adults Undergoing Noncardiac Surgery: Incidence, Risk Factors and Survival Outcome.” This article was very useful to me because it allowed me see the problem from a quantitative and qualitative point of view.

This induced state of hypothermia is essential to protect tissue from ischemia and reperfusion injury. If you recall from earlier, ischemia is a deficiency of blood supply due to vasoconstriction. Reperfusion injury is the damage to tissue caused when blood supply returns to tissue after a period of ischemia. Inducing hypothermia stops the process of ischemia from affecting the other tissues in the body. This allows for the regeneration of ATP in the body when blood flow is restored. “Induced hypothermia generates a state of metabolic depression that preserves cellular energy when oxygen and substrates are limited (Alam, 2009)”. Hypothermia constricts the activity of the sodium-potassium adenosine triphosphatase (Na+/K+ ATPase pump) pump. The inactivation of this pump conserves ATP in the cell, suppressing the need for oxygen (Alam,2009).

In this video Dr. Rhonda Patrick (expert on nutritional health, brain, cancer & aging) talks in-detail about the benefits of Whole Body Cryotherapy with Joe Rogan. She tells about her experience in WBC, as well as how the procedure goes, what safety measures should be followed, describes the features, benefits and disadvantages of cold treatment from a medical point of