What are protocols for controlled rewarming of the patient after the initiation of cooling in 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

The rewarming phase may be the most critical, as constricted peripheral vascular beds start to dilate. Peripheral hyperemia may cause hypotension. The literature recommends rewarming slowly at a temperature of 0.3ºC-0.5ºC every hour. Rewarming will take approximately 8-12 hours. Hyperthermia should be avoided.


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