What are the exclusion criteria for targeted temperature management (TTM)?

Updated: Jul 26, 2019
  • Author: Alex Koyfman, MD; Chief Editor: Karlheinz Peter, MD, PhD  more...
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Answer

Answer

Patients for whom hypothermia may theoretically carry increased risk include those with the following conditions:

  • Recent major surgery within 14 days - Possible risk for infection and bleeding

  • Systemic infection/sepsis - Small increase in risk of infection

  • Coma from other causes (drug intoxication, preexisting coma prior to arrest)

  • Known bleeding diathesis or with active ongoing bleeding - Hypothermia may impair the clotting system (however, patients may receive chemical thrombolysis, antiplatelet agents, or anticoagulants if deemed necessary in the treatment of the primary cardiac condition)

In addition, hypothermia is inappropriate in patients with a valid do not resuscitate order (DNR).


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