Holden Mary, Makic Mary Beth Flynn
University of Colorado Hospital, Denver, 80262, USA.
AACN Adv Crit Care. 2006 Apr-Jun;17(2):125-32.
Clinically induced hypothermia is an evidence-based intervention strategy that can improve the neurological outcome of unconscious patients after sudden cardiac arrest. Until recently, clinically induced hypothermia has been primarily used during surgery as a mechanism of preserving cardiovascular and neurologic stability of patients. Current evidence suggests that early use of mild hypothermia therapy in select populations of patients improves survival and neurologic outcome postdischarge. While clinically induced hypothermia is beneficial as a treatment to preserve neurologic function, it is not without complications. The purpose of this article is to review current literature and evidence-based nursing practice implications for managing the induction of a hypothermic state in adult patients who remain comatose after initial resuscitation from sudden cardiac arrest. Physiologic benefits of hypothermia, complications, and nursing care considerations will be presented.
临床诱导低温是一种基于证据的干预策略，可改善心脏骤停后昏迷患者的神经学预后。直到最近，临床诱导低温主要在手术期间用于维持患者心血管和神经稳定性。目前的证据表明，在特定患者群体中早期使用轻度低温治疗可提高出院后的生存率和神经学预后。虽然临床诱导低温作为一种保护神经功能的治疗方法是有益的，但并非没有并发症。本文的目的是回顾当前文献以及基于证据的护理实践对管理心脏骤停初始复苏后仍昏迷的成年患者低温状态诱导的意义。将介绍低温的生理益处、并发症以及护理注意事项。
