Optimal management of shivering during therapeutic hypothermia after cardiac arrest.

Abstract:

:Both pharmacological and nonpharmacological methods are used to control shivering in therapeutic hypothermia. An evidence-based protocol based on the most current research has been developed for the management of shivering during therapeutic hypothermia. Meperidine is the drug of choice and provides the greatest reduction in the shivering threshold. Other effective pharmacological agents recommended for reducing the threshold include dexmedetomidine, midazolam, fentanyl, and magnesium sulfate. In addition, skin counterwarming techniques, such as use of an air-circulating blanket, are effective nonpharmacological methods for reducing shivering when used in conjunction with medication. As a last resort, neuromuscular blocking agents are considered appropriate therapy for management of refractory shivering.

journal_name

Crit Care Nurse

journal_title

Critical care nurse

authors

Logan A,Sangkachand P,Funk M

doi

10.4037/ccn2011618

subject

Has Abstract

pub_date

2011-12-01 00:00:00

pages

e18-30

issue

6

eissn

0279-5442

issn

1940-8250

pii

31/6/e18

journal_volume

31

pub_type

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