Active Cooling During Inter-facility Transportation of a Post Cardiac Arrest Patient: A Case Report

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Somjintana Iamsanpang, MD

Abstract

OBJECTIVES:
The aims of the study were to evaluate patients with solid cancer who received chemotherapy using symptom management strategies (after being educated about and informed on such strategies), and to determine parameters that influenced patients in applying symptom management strategies during chemotherapy treatment.
MATERIALS AND METHODS:
This was a prospective study conducted in patients with solid cancer whom were admitted for the first chemotherapy at either Wattanosoth Hospital, Samitivej Sukhumvit Hospital, Phyathai2 Hospital, Samitivej Sriracha Hospital or Chonburi Hospital. The patients were given information regarding the side effects of chemotherapy and were given an outline of symptom management strategies by nurses. The extent of the severity of side effects of chemotherapy and the management of symptoms were assessed using both the therapy-related symptom checklist (TRSC) and the self-care method (SCM). RESULTS:
One hundred and forty nine patients with solid cancer who received the first chemotherapy were enrolled in the study. The 5 commonest side effects of chemotherapy included: hair loss (81.21%), change of taste perception (79.19%), skin change (75.17%), loss of appetite (74.50%), and difficulty sleeping (73.15%). The most common symptom management strategies used were “taking suggested medication” (27.15%), followed by “changing food and lifestyle choices” (26.62%). The patients’ level of education and access to data resources on the management of side effects were independent factors that influenced patients in applying symptom management strategies.
CONCLUSON:
Knowledge of the side effects of chemotherapy and self-care management is essential for patients with solid cancer who are receiving chemotherapy. A symptom management strategy is not only there to ameliorate a patient’s affliction but also to optimize their quality of life during the period of chemotherapy course

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How to Cite
1.
Iamsanpang S. Active Cooling During Inter-facility Transportation of a Post Cardiac Arrest Patient: A Case Report. BKK Med J [Internet]. 2015Feb.20 [cited 2020Sep.24];9(1):27. Available from: https://he02.tci-thaijo.org/index.php/bkkmedj/article/view/221060
Section
Original Article

References

1. Peberdy MA, Callaway CW, Neumar RW, et al. Part 9: postcardiac arrest care: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2010;122: S768-86.
2. Bernard SA, Gray TW, Buist MD, et al. Treatment of comatose survivors of out-of-hospital cardiac arrest with induced hypothermia. N Engl J Med 2002;346:557-63.
3. Arrich J, European Resuscitation Council Hypothermia after Cardiac Arrest Registry Study Group. Clinical application of mild therapeutic hypothermia after cardiac arrest. Crit Care Med 2007;35:1041-7.
4. Bro-Jeppesen J, Kjaergaard J, Horsted TI, et al. The impact of therapeutic hypothermia on neurological function and quality of life after cardiac arrest. Resuscitation 2009;80:171-6.
5. Skulec R, Kovarnik T, Dostalova G, et al. Induction of mild hypothermia in cardiac arrest survivors presenting with cardiogenic shock syndrome. ActaAnaesthesiolScand 2008;52:188-94.
6. Nolan JP, Morley PT, Vanden Hoek TL, et al. Therapeutic hypothermia after cardiac arrest: an advisory statement by the advanced life support task force of the International Liaison Committee on Resuscitation. Circulation 2003; 108:118-21.
7. Hobson A, Sussman C, Knight J, et al. Active cooling during transport of neonates with hypoxic-ischemic encephalopathy. Air Med J 201;30:197-200.
8. Walpoth BH, Galdikas J, Leupi F, et al. Assessment of hypothermia with a new “tympanic” thermometer. JClinMonit 1994;10:91-6.
9. Hasper D, Nee J, Schefold JC, et al. Tympanic temperature during therapeutic hypothermia. Emerg Med J 2011; 28:483-5.
10. Haugk M, Sterz F, Grassberger M, et al. Feasibility and efficacy of a new non-invasive surface cooling device in post-resuscitation intensive care medicine. Resuscitation 2007;75:76-81.
11. Gillies MA, Pratt R, Whiteley C, et al. Therapeutic hypothermia after cardiac arrest: a retrospective comparison of surface and endovascular cooling techniques. Resuscitation 2010;81:1117-22.
12. Hypothermia after Cardiac Arrest Study Group. Mild therapeutic hypothermia to improve the neurologic outcome after cardiac arrest. N Engl J Med 2002; 346:549-56.