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I had my first therapeutic hypothermia after cardiac arrest patient the other day. I had them at the end of maintenance and the entire rewarming phase, so I missed all the q15 minute craziness but it was still really interesting. My lady was super stable, though - I saw like a 10-second run of SVT but that was the only interesting thing she did all night. I didn't even get to see any fun electrolyte abnormalities during rewarming. My coworker during the cooling phase got all of that.
I can't even imagine how they used to do therapeutic hypothermia... how did you keep a patient's temperature stable at a certain level before these blankets that automatically warm/cool to maintain a certain body temp? Did you just check a temp every fifteen minutes and add ice or heat or what? I'm really curious. It seems like it would be really complicated without these automatic blankets.
Wound vacs with foam instead of gauze. Wound vacs period.
Pleur-x catheters--for those who may not be familiar, it is a small bore tube surgically implanted in either the abdomen or pleural cavity enabling pts with chronic ascites or pleural effusion to drain fluid periodically at home. It uses one-time-use vacuum bottles and is really the coolest thing ever.
I had my first therapeutic hypothermia after cardiac arrest patient the other day. I had them at the end of maintenance and the entire rewarming phase, so I missed all the q15 minute craziness but it was still really interesting. My lady was super stable, though - I saw like a 10-second run of SVT but that was the only interesting thing she did all night. I didn't even get to see any fun electrolyte abnormalities during rewarming. My coworker during the cooling phase got all of that.I can't even imagine how they used to do therapeutic hypothermia... how did you keep a patient's temperature stable at a certain level before these blankets that automatically warm/cool to maintain a certain body temp? Did you just check a temp every fifteen minutes and add ice or heat or what? I'm really curious. It seems like it would be really complicated without these automatic blankets.
Therapeutic hypothermia is relatively new, but cooling/ warming blankets have been around forever.
Christy1019, ASN, RN
879 Posts
Another popular thread titled "Oldie but goodie" inspired this post. Being a nurse with only 6yrs experience, I unfortunately don't have any great stories of the way things used to be done. However, I have been a part of some pretty cool, newer innovations and am curious what others have had the opportunity to take part in.
I remember working with the newer Heartware LVADs when they were still pending FDA approval, and thinking how cool it was that they plugged into the wall or a cigarette lighter, the first time I had a pt have a balloon pump inserted, and using an Alsius machine for therapeutic hypothermia and to treat a hypothermic trauma pt.
What great stories do you all have?