Shivering is common during targeted temperature management and controlling it can be challenging if clinicians are not familiar with the available options and recommended approaches. Maria Gray and Stephanie Slisz, authors of a recent review of shivering treatments, discuss their findings.
Over the last decade, advanced technologies have developed around two heat transfer methods: surface devices (water blankets, forced-air warmers) or intravascular devices (sterile catheters requiring vascular placement). Recently, a novel device became available that is placed in the esophagus, analogous to a standard orogastric tube, that provides efficient heat transfer through the patient’s core.
Our study shows that the EnsoETM could be an “intermediate” device, between intravascular invasive device and non-invasive surface cooling, due to its semi-invasive properties and its performances for precisely maintain TTM. Finally, in burned patients needing precise TTM, this device could find a place avoiding central lines and skin damage.
Shivering is a serious complication for the neurologically impaired patient. However, there are methods available to mitigate this response.
Advanced Cooling Therapy is now Attune Medical. Attune Medical better illustrates our commitment to temperature management therapy in all clinical contexts, and highlights our focus on being attuned to three crucial pillars of our business: clinical needs, the state of science, and most importantly, patient safety.
The role of fever and hyperthermia in the neurologically impaired patient is well documented; many studies identify fever as detrimental regardless of the cause. This e-book reviews neurogenic fever, its incidence, thermoregulatory shifts associated with hypothalamic injuries, and associated interventions.
Determining Best Practice for a TTM Post-Arrest Protocol: An On-Demand Webinar featuring Michelle Deckard
Michelle Deckard, Critical Care CNS and TTM Post Arrest Program Coordinator at IU Health, discusses best practices for creating and revising a TTM protocol in your institution.
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