PPT-Cool and Comfortable: How to manage vasopressors and sedation with therapeutic hypothermia

Keliana OMara PharmD FN3 Annual Conference July 13 2019 Objectives Review the pathophysiology of hypotension Discuss the role of vasopressors and ionotropes in neonates with hypotension. What percent of the time do you enter false information when asked to register Rather not say Ive never falsified information Under 25 of the time 26 50 of the time 51 75 of the time Over 75 of the time Ive never registered with a site Why dont yo FOR ADULTS. Dr. CATHERINE GALLANT. Department of Anesthesiology. University of Ottawa. General Campus. OUTLINE. Definition. Indications for use. Contraindications. Pharmacology. Complications. DEFINITION. What is used for what?. Analgesic. Pain control. Always should be first before sedation. Sedative. Achieve sedation, . anxiolysis. , amnesia, altered consciousness. Paralytic. Prevents movement. Never should be used without analgesia and sedation. 1 Minimal Moderate Sedation/Analgesia (“ConsciousSedation”) Deep Sedation/Analgesia General Anesthesia Responsiveness Normal Purposeful** responseverbal tactilestimulation Purposeful** resp Pre-treatment, Day of treatment and Post op. Sedation . Medications. NOCTEC:. Chloral Hydrate, comes in capsule and syrup form. 1 tsp = 500mg. Effective sedation and hypnotic. Had tendency to cause gastric irritation – nausea and vomiting . Spinal . A. naesthesia. . for . Elective . I. nfraumbilical. . S. urgeries. : Comparison between . PROPOFOL. . and . MIDAZOLAM. BY- . DR. RITESH NAYAR. MODERATOR- . DR. AJAY SOO. D. . DR. RAVI KANT DOGRA. What is used for what?. Analgesic. Pain control. Always should be first before sedation. Sedative. Achieve sedation, . anxiolysis. , amnesia, altered consciousness. Paralytic. Prevents movement. Never should be used without analgesia and sedation. Hospital. . Amina Qayum. 1. , Steven L. . Olsen. 1,2. , Deborah M . Schwartzkopf. 2. , . Mary Hagerty. 2. , Eugenia . Pallotto. 1,2. . 1. UMKC . School of Medicine, . 2. Children’s Mercy Hospital. Michael D. Weiss, M.D.. Professor of Pediatrics. Division of Neonatology. I. Entry Criteria. 1. . Gestational Age greater than or equal to 35 weeks gestation . 2. . Birth weight . greater than or equal to. The happy place. ‘…a moment later the anesthesiologist connected a syringe full of cream colored liquid to my IV. “Now I’m going to ask you to go to your happy place,” she said. The back of my gown fell open and I felt the cool air on my exposed rear end. “My what?”. Objectives. After this presentation, the audience will be able to. .... 1. Identify indications for . Therapeutic Hypothermia (TH). 2. Discuss contraindications for . TH. 3. Identify the complications & risks of . Clark Safety. &. Loss Control. Cold Weather Injuries. Frostbite & Hypothermia. Historical Perspective. Cold Weather. Cold Weather Injuries. Hypothermia. Cold Stress . Cold. Alcohol . Metal Objects & Liquid Fuels. Hypothermia is a lowering of the body temperature in response to cold. Mild Hypothermia. Core temperature of 95 F (35 C). Moderate Hypothermia. Core Temperature of 86 F (32 C). Severe Hypothermia. Core Temperature less than 82 F (28 C). Resident Board Review. July 6, 2010. Definition. A condition in which the core body temperature is below the normal physiologic parameters for an individual species. Classification. Primary. Subnormal temperature caused by excessive exposure to low environmental temperatures.