Trayectoria clínica de hipotermia terapéutica posparada cardiaca / Clinical course of induced hypothermia after cardiac arrest

IntroducciónLa parada cardiaca es un gran problema sanitario, por su alta mortalidad, y las secuelas neurológicas derivadas de la hipoxia. Siguiendo las recomendaciones de las sociedades científicas y de la evidencia generada, se inició en 2006 en nuestro centro, la aplicación de hipotermia ligera.ObjetivoEstandarizar la aplicación del sistema no invasivo, de inducción y mantenimiento de hipotermia (Arctic-Sun®), evitar la variabilidad de la práctica clínica, garantizar la calidad de la atención y la seguridad del paciente.MetodologíaSe realiza revisión bibliográfica y de protocolos de centros sanitarios en los que se emplea la técnica de hipotermia inducida. Hacemos análisis de las historias clínicas de pacientes, a los que se aplicó esta técnica y tras reuniones entre los diferentes profesionales que participan en el proceso se realiza un documento consensuado de actuaciones a llevar a cabo.PersonalEn la elaboración de la trayectoria clínica participan médicos, enfermeras y auxiliares de enfermería.TécnicaSe describen las actividades en cada fase del proceso: preparación y monitorización del paciente, programación del dispositivo, inducción y mantenimiento de la hipotermia, así como del recalentamiento prolongado que se lleva a cabo(AU)

IntroductionCardiac Arrest is a major health problem because of its high mortality and neurological effects due to hypoxia.IntroductionBased on the Scientific Societies recommendations and Scientific Evidence, our hospital began to apply Mild Hypothermia in 2006.Objective of this clinical courseTo standardize the application of the non-invasive Induction and Maintenance Hypothermia System (Arctic-Sun®), to avoid the variability of the clinical practice, and to ensure patient quality of care and safety.MethodologyA review was made of the literature and protocols of the Health Care Centers where hypothermia is used. The clinical records of the patients in whom this technique was used were analyzed. Meetings were held with the professionals in order to reach a consensus.StaffDoctors, Nurses and Nursing assistants.TechniqueThe activities in each phase were described: preparation and patient monitoring, cooling device, programming, induction and maintenance of hypothermia and controlled rewarming until normothermia is reached(AU)

[Clinical course of induced hypothermia after cardiac arrest]. / Trayectoria clínica de hipotermia terapéutica posparada cardiaca.

INTRODUCTION: Cardiac Arrest is a major health problem because of its high mortality and neurological effects due to hypoxia. Based on the Scientific Societies recommendations and Scientific Evidence, our hospital began to apply Mild Hypothermia in 2006. OBJECTIVE OF THIS CLINICAL COURSE: To standardize the application of the non-invasive Induction and Maintenance Hypothermia System (Arctic-Sun), to avoid the variability of the clinical practice, and to ensure patient quality of care and safety. METHODOLOGY: A review was made of the literature and protocols of the Health Care Centers where hypothermia is used. The clinical records of the patients in whom this technique was used were analyzed. Meetings were held with the professionals in order to reach a consensus. STAFF: Doctors, Nurses and Nursing assistants. TECHNIQUE: The activities in each phase were described: preparation and patient monitoring, cooling device, programming, induction and maintenance of hypothermia and controlled rewarming until normothermia is reached.