So at a new facility I work at, we were reviewing hypothermia protocol. I asked "what if the patient wakes up and is following commands?" and everyone laughed and said "what?? they're on nimbex and sedation, they won't" and even went on to say that if they woke up during induction to increase sedation and nimbex and continue on. WHAT??
It made me question myself immediately, but at my old facility, I know I've had patients that coded, got hypothermia protocol ordered, and during the process of initiating the induction phase (nimbex, cooling, propofol, etc.) they've woken up and were able to follow commands (squeeze hands). Subsequent to this the intensivist DC'd the hypothermia. I know I've also had patients on nimbex/propofol that became responsive, probably due to the dosage need of the drugs being relatively small s/p the code, but later on the patient is able to excrete/metabolize drugs better after recovering from the code.
Anyway...am I crazy here? If a patient became responsive...continue on with hypothermia and sedate/paralyze???