Beseda Ryan, Smith Susan, Veenstra Amy
Department of Critical Care Services, Baylor University Medical Center at Dallas, 3500 Gaston Avenue, Dallas, TX 75246, USA.
Department of Critical Care Services, Baylor University Medical Center at Dallas, 3500 Gaston Avenue, Dallas, TX 75246, USA.
Crit Care Nurs Clin North Am. 2014 Dec;26(4):511-24. doi: 10.1016/j.ccell.2014.08.001. Epub 2014 Sep 16.
Providing evidence-based care to patients with return of spontaneous circulation after a cardiac arrest is a recent complex innovation. Once resuscitated patients must be assessed for appropriateness for therapeutic hypothermia, be cooled in a timely manner, maintained while hypothermic, rewarmed within a specified time frame, and then assessed for whether hypothermia was successful for the patient through neuroprognostication. Nurses caring for therapeutic hypothermia patients must be knowledgeable and prepared to provide care to the patient and family. This article provides an overview of the complexity of therapeutic hypothermia for patients with return of spontaneous circulation in the form of a case study.
为心脏骤停后恢复自主循环的患者提供循证护理是一项新近出现的复杂创新举措。复苏后的患者必须接受评估，以确定是否适合进行治疗性低温治疗，要及时降温，在低温状态下维持治疗，在规定时间内复温，然后通过神经预后评估来判断低温治疗对该患者是否成功。护理接受治疗性低温治疗患者的护士必须知识渊博，并做好为患者及其家属提供护理的准备。本文通过一个案例研究的形式概述了为恢复自主循环患者进行治疗性低温治疗的复杂性。
