TITLE

Optimal Management of Shivering During Therapeutic Hypothermia After Cardiac Arrest

AUTHOR(S)
Logan, Angela; Sangkachand, Prasama; Funk, Marjorie
PUB. DATE
December 2011
SOURCE
Critical Care Nurse;Dec2011, Vol. 31 Issue 6, pe18
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
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.
ACCESSION #
69676010

 

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