How is shivering managed during 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

Shivering, the body’s attempt at maintaining temperature homeostasis, is a concern when trying to achieve a hypothermic state. Shivering is uncomfortable, and it generates heat, interfering with the cooling process.

When using conventional surface cooling, sedation and chemical paralysis is usually necessary. Use of endovascular cooling can negate the need for paralysis (see Cooling Methods).


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