When is cooling indicated for the treatment of hyperthermia?

Updated: Oct 14, 2020
  • Author: Erik D Schraga, MD; Chief Editor: Sage W Wiener, MD  more...
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Answer

Answer

Indications are as follows:

  • Elevated rectal temperature greater than 40°C and altered mental status

  • Particularly aggressive temperature reduction is necessary in the setting of hemodynamic instability.

  • Suspected or confirmed neuroleptic malignant syndrome and malignant hyperthermia: Cooling techniques should be implemented concomitantly with administration of specific pharmacologic treatment (eg, dantrolene for malignant hyperthermia). [10] The offending drug should be discontinued.


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