What are the contraindications to cooling 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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Treatment of hyperthermia with cooling techniques has no absolute contraindications.

Relative contraindications to specific cooling modalities include the following:

  • Ice water immersion - Inability to perform cardiac monitoring, limited patient supervision

  • Gastric lavage - Inability to protect airway unless patient is endotracheally intubated

  • Peritoneal lavage - Multiple previous abdominal surgeries (relatively contraindicated because of increased risk of bowel perforation)

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