| Optimal management of shivering during therapeutic hypothermia after cardiac arrest. | |
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MedLine Citation:
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PMID: 22135340 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Both pharmacological and nonpharmacological methods are used to control shivering in therapeutic hypothermia. An evidence-based protocol based on the most current research has been developed for the management of shivering during therapeutic hypothermia. Meperidine is the drug of choice and provides the greatest reduction in the shivering threshold. Other effective pharmacological agents recommended for reducing the threshold include dexmedetomidine, midazolam, fentanyl, and magnesium sulfate. In addition, skin counterwarming techniques, such as use of an air-circulating blanket, are effective nonpharmacological methods for reducing shivering when used in conjunction with medication. As a last resort, neuromuscular blocking agents are considered appropriate therapy for management of refractory shivering. |
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Authors:
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Angela Logan; Prasama Sangkachand; Marjorie Funk |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Critical care nurse Volume: 31 ISSN: 1940-8250 ISO Abbreviation: Crit Care Nurse Publication Date: 2011 Dec |
Date Detail:
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Created Date: 2011-12-02 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8207799 Medline TA: Crit Care Nurse Country: United States |
Other Details:
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Languages: eng Pagination: e18-30 Citation Subset: N |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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