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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]
A study conducted in 2002-2004 showed that treatment with therapeutic hypothermia for patients resuscitated after cardiac arrest due to ventricular fibrillation led to a positive outcome (Glasgow-Pittsburgh Cerebral Performance category 1 or 2) in 24 of 43 patients compared to only 11 of 43 patients in the standard resuscitation group where no ...
Hypothermia reduces vasogenic oedema, haemorrhage and neutrophil infiltration after trauma. [31] The release of excitatory neurotransmitters is reduced, limiting intracellular calcium accumulation. [ 32 ] [ 33 ] [ 34 ] Free radical production is lessened, which protects cells and cellular organelles from oxidative damage during reperfusion. [ 35 ]
The Bair Hugger system uses convective warming, also known as forced-air warming, to prevent and treat perioperative hypothermia. The system includes two primary components: a warming unit and a disposable blanket. The warming unit is connected by a flexible hose to the single-use blanket.
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) .
A fluid warmer is a medical device used in healthcare facilities for warming fluids, crystalloid, colloid, or blood products, before being administered (intravenously or by other parenteral routes) to body temperature levels to prevent hypothermia in physically traumatized or surgical patients.
It has been well established that maintenance of therapeutic hypothermia is arrest scenarios is beneficial. [22] [23] In view of this, a target temperature of 33° C is maintained for the first 24 hours following commencement of ECMO, with gradual rewarming occurring thereafter. [19]
Afterdrop is a continued cooling of core temperature during the initial stages of rewarming from hypothermia.. Afterdrop is attributed to the return of cold blood from extremities to the core due to peripheral vasodilatation, thus causing a further decrease of deep body temperature. [1]