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Targeted temperature management (TTM), previously known as therapeutic hypothermia or protective hypothermia, is an active treatment that tries to achieve and maintain a specific body temperature in a person for a specific duration of time in an effort to improve health outcomes during recovery after a period of stopped blood flow to the brain. [1]
One of the most common practices of targeted temperature management is to reduce body temperature to a “mild hypothermic state” (per the AHA guidelines is 33 °C (91.4 °F) for 12–24 hours and then slowly re-warm the body back to normal 37 °C (98.6 °F).
At present data relate only to full term infants, and all human studies of hypothermia treatment have so far been restricted to infants >36 weeks out of an expected 40 weeks gestation. There are both more potential side effects on the developing premature with lung disease , and there is more evident protection by hypothermia when a greater ...
Choice of rewarming method depends on the suspected extent of skin injury and severity of hypothermia (if present). [11] Passive rewarming techniques such as blankets may be sufficient for milder injuries. [11] Active rewarming techniques such as warm intravenous fluids or warm water baths may be needed for more severe injuries.
A hypothermia cap (also referred to as cold cap or cooling cap) is a therapeutic device used to cool the human scalp. Its most prominent medical applications are in preventing or reducing alopecia in chemotherapy , and for preventing cerebral palsy in babies born with neonatal encephalopathy caused by hypoxic-ischemic encephalopathy (HIE) .
Rewarming is typically continued until a person's temperature is greater than 32 °C (90 °F). [2] If there is no improvement at this point or the blood potassium level is greater than 12 millimoles per litre at any time, resuscitation may be discontinued. [2] Hypothermia is the cause of at least 1,500 deaths a year in the United States. [2]
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In sports therapy, an ice bath, or sometimes cold-water immersion, Cold plunge or cold therapy, is a training regimen usually following a period of intense exercise [1] [2] in which a substantial part of a human body is immersed in a bath of ice or ice-water for a limited duration.